LGV lv a4c s4c pocus management diagnosis thrombus apical embolism mitral differential anatomy sign

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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).

Differential/diagnosis ... POCUS (apical window ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign

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McConnell's Sign in RV Infarct
This patient arrived as a STEMI alert. Apical 4-chamber view showing a

Apical 4-chamber ... ); LV function preserved ... #clinical #POCUS ... Echocardiogram #A4C ... #cardiology #anatomy

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

In PLAX view, The unechoic line between

Huge mural thrombus ... occupying 1/3 the LV ... DD the [apical HOCM ... echocardiogram #pocus ... #a4c

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Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.

POCUS Echocardiogram ... for associated LV ... thrombus. ... EF -> visible mural ... echocardiogram #clinical #anatomy

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

What's the diagnosis ... Thrombus in transit ... later with normal LV ... #Clinical #POCUS ... Echocardiogram #A4C

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Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
• Regional wall motion, systolic and diastolic function,

Infarction Acute LV ... HTN and LV/RV dysfunction ... poor prognostic signs ... • Typically ↑ mitral ... rupture along LV

Peripartum Cardiomyopathy - Summary
1. Definition
• Towards the end of pregnancy to 5 months postpartum

with or without LV ... • Idiopathic LV ... Differential Diagnosis ... LVEDd > 6.0 cm, LV ... studies show no ↓ LV

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