Woltman a4c thrombus labeled intransit vte clot rheumatic cardiology diagnosis sign mitral

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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 ... extensive bilateral PTE ... Echocardiogram #A4C ... #Clots #InTransit

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

Disease - Mitral ... (5) Layered clot ... #Mitral #Stenosis ... Echocardiogram #clinical #cardiology ... #a4c #thrombus

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