Sag pocus lung radiology em a4c plax hocm clinical psax ultrasound rwma a3c mitralvalve thrombus

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Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-)
EM resident

Serial trops (-) EM ... Metoprolol - VCU Ultrasound ... #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus

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

In PLAX view, The unechoic line between

territory] In PLAX ... DD the [apical HOCM ... #clinical #cardiology ... echocardiogram #pocus ... #a4c

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