LGV lv a4c s4c pocus lachmans psax atrial apical dilated thrombus color intransit hypertension sign

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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 ... seen in RA. dilated ... later with normal LV ... #Clinical #POCUS ... Echocardiogram #A4C

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

identifying the RV vs LV ... 100% reliable sign ... ventricle with the apically ... clinical #cardiology #s4c ... #pocus

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