acl ultrasound ebm echocardiogram clinical plax atrial s4c septal bubble a4c shunting 1: thrombus 2

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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

(1) Thickened ... (2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... #a4c #thrombus

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... #clinical #pocus ... #a4c #intrapulmonary

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