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diagnosis hematology clinical echocardiogram pocus causes differential a4c aptt clots dic disseminated intravascular mcconnells prolonged pt pulmonary sign artery bleeding
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
presented with acute ... Thrombus in transit ... 3 d later with normal ... #Sign #PulmonaryEmbolism ... #InTransit
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 Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
echo - RV strain, McConnell ... BP is normal and ... Echocardiogram #A4C #McConnells ... Pulmonary #Embolism #Thrombus ... #Clots #InTransit
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 ISTH Scoring System for Disseminated Intravascular Coagulation (DIC) Platelet count: • Expected: Low (or normal) • Elevation
Intravascular Coagulation ... • Elevation in thrombin ... consumption of coagulation ... fibrinogen is also an acute-phase ... Intravascular #Coagulation
Clot in Transit on POCUS Echocardiogram Not something you ever want to see! How much should clot
Clot in Transit ... should clot in transit ... s4c #cardiology #thrombus ... #VTE #pulmonaryembolism ... #AcutePE
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 Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework == Quantitative or Qualitative defect in
inhibitor of a coagulation ... • Warfarin • Acute ... pathway to the intrinsic ... Liver disease • Acute ... warfarin, direct thrombin
Causes of Abnormal PT and/or aPTT Prolonged Prothrombin Time (PT) 1. Acquired deficiency of FVII
Causes of Abnormal ... Congenital intrinsic ... coagulation factors ... drugs e.g. direct thrombin ... Jcortesizaguirr #Abnormal
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Intravascular Coagulation ... malignancy (Especially acute ... • Increased thrombin ... Thrombocytopenia - Normal ... - APTT < 1.5 x normal
Differential Diagnosis for a Prolonged PT and aPTT If the PT and the aPTT are both prolonged,
affected in the intrinsic ... drugs (e.g. direct thrombin ... amyloidosis #Abnormal ... differential #hematology #coagulation
Pulmonary Artery Clot seen on PSAX in Acute Saddle Pulmonary Embolism - Labeled Thrombus in Purple Suspicious
seen on PSAX in Acute ... Embolism - Labeled Thrombus ... for RV dilation, McConnell's ... The actual thrombus ... #Saddle #PulmonaryEmbolism
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 Acute Pulmonary Embolism: "D" sign: In a physiologically normal heart, LV pressure > RV pressure. When viewing heart
Acute Pulmonary ... physiologically normal ... McConnell's sign ... highly specific in acute ... #Pulmonaryembolism
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