Challenge amenorrhea cardiology a4c thrombus clot sign lv 2chamber intransit pocus failure

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

Thrombus in transit ... later with normal LV ... #Clinical #POCUS ... Echocardiogram #A4C ... #Clots #InTransit

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RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation

illustrates the challenges ... identifying the RV vs LV ... 100% reliable sign ... Echocardiogram #clinical #cardiology ... #s4c #pocus

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