finger radiology cxr acl echocardiogram lateral xray cardiac a4c s4c 2 3d pharmacology doubleshunt

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

bubbles = PFO 2. ... PFO or ASD, and later ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... clinical #pocus #a4c

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Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,

ankle swelling. 2. ... gallop rhythm), and laterally ... Chest x-ray: signs ... → no signs of CXR ... Consider cardiac

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