Woltman a4c thrombus labeled intransit echocardiogram cardiac pulmonaryembolism stenosis 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 ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells ... #Sign #PulmonaryEmbolism ... #InTransit

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

on Echocardiogram ... (4) All 4 cardiac ... (5) Layered clot ... clinical #cardiology #a4c ... #thrombus

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