LGV lv a4c s4c pocus lachmans psax dissection thrombus ventricular apical rv cardiacmri clots sign

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

in RA. dilated RV ... later with normal LV ... #Clinical #POCUS ... Echocardiogram #A4C ... #Clots #InTransit

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Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between

occupying 1/3 the LV ... between IVS and the clot ... DD the [apical HOCM ... echocardiogram #pocus ... #a4c

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