mass echocardiogram s4c waterhammer cardiomyopathy dilated thrombus intransit 1: pulmonaryembolism

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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 ... seen in RA. dilated ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells ... #Sign #PulmonaryEmbolism

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