Rejected at 10:38 p.m. Jan, 03, 2026 ] by Ahmed7
Author: patriciasanchez
Related Note: 1576856273906 1
Rationale for change

The card states that an atrial septal defect (ASD) has a positive bubble study (agitated saline contrast echocardiography) as a standard finding.
This is wrong because bubble studies are often negative because most ASDs cause left-to-right shunt.
Source: AMBOSS - https://next.amboss.com/us/article/4403jT?q=asd#REXlv-

Rejection reason

comments

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#AK_Step1_v12::#UWorld::COMLEX::27246 #AK_Step1_v12::#UWorld::COMLEX::23315 #AK_Step1_v12::#Bootcamp::Cardiology::21_Acyanotic_Congenital_Heart_Defects::03_Atrial_Septal_Defect #AK_Step1_v12::#SketchyPath::01_Cardiac::05_Congenital_Heart_Disease::01_Left-to-Right_Shunts #AK_Step1_v12::#B&B::06_Cardio::07_The_Developing_Heart::02_Shunts::Extra #AK_Other::^EXPN::JBadd #AK_Step1_v12::^Systems::Cardio::JBadds #PANCE::CARDIO::congenital_heart_disease #AK_Step1_v12::#OME::PreClinical::Cardiac #AK_Step2_v12::#CMS::OBGYN::Form_08 #AK_Step1_v12::#UWorld::Step::19935 #AK_Other::Only_Step_1 #PANCE::EOR::PEDS #AK_Step1_v12::#FirstAid::07_Cardiovascular::04_Pathology::01_Congenital_heart_diseases #AK_Other::SketchyPathAdds #AK_Step1_v12::#UWorld::Step::202 #AK_Step1_v12::#AMBOSS::pz0LFi #AK_Other::#AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Cardiovascular::Cardio_Pathology #AK_Step1_v12::#FirstAid::07_Cardiovascular::04_Pathology::01_Congenital_heart_diseases::02_Left-to-right_Shunts::*Left_Right_Shunt::Atrial_Septal_Defect #AK_Step1_v12::#Low/HighYield::2-RelativelyHighYield