POCUS IVC Thrombus sign echocardiogram a4c endocarditis clinical cardiac pulmonaryembolism intransit s4c clots 2 contrast stenosis saline

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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 ... #Clinical #POCUS ... #A4C #McConnells ... #Sign #PulmonaryEmbolism ... #Thrombus #Clots

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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

(2) Lvef 25-30% ... (4) All 4 cardiac ... (5) Layered clot ... spontaneous echo contrast ... #a4c #thrombus

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

contrast study, ... Early transit of ... PVeins (extra-cardiac ... #clinical #pocus ... #a4c #intrapulmonary

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