bleeding ortho hematology gastroenterology clinical diverticulosis cirrhosis hepatology milking a4c

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Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
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with HCV induced cirrhosis ... 82% on RA when walking ... intrapulmonary #cardiology #clinical ... #pocus #hepatology ... #a4c

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