13 results
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
Thrombus in transit ... #Clinical #POCUS ... #Sign #PulmonaryEmbolism ... #Thrombus #Clots ... #InTransit
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
echo - RV strain, McConnell ... #Clinical #POCUS ... Echocardiogram #A4C #McConnells ... Pulmonary #Embolism #Thrombus ... #Clots #InTransit
McConnell sign and right sided thrombus in transit on POCUS

Pt presents to highest acuity area of
McConnell sign and ... right sided thrombus ... in transit on POCUS ... #sign #thrombus ... Echocardiogram #POCUS
Coagulation Cascade Mnemonic - PITT vs PET
PITT (with an I) = Intrinsic = APTT
Coagulation Cascade ... (with an I) = Intrinsic ... = APTT Factors ... @pinoygastro #Coagulation ... PET #diagnosis #hematology
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Congenital intrinsic ... coagulation factors ... drugs e.g. direct thrombin ... #differential #hematology ... #coagulation
The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
The coagulation ... along with FXIIa (intrinsic ... #Coagulation #Cascade ... #clot #PT #PTT ... diagnosis #models #hematology
ISTH Scoring System for Disseminated Intravascular Coagulation (DIC)
Platelet count:
 • Expected: Low (or normal)
 • Elevation
Intravascular Coagulation ... aggregation PT, aPTT ... consumption of coagulation ... Intravascular #Coagulation ... Scoring #diagnosis #hematology
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
the PT and the aPTT ... affected in the intrinsic ... drugs (e.g. direct thrombin ... #differential #hematology ... #coagulation
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT/PTT ... • Increased thrombin ... PT/INR: ↑ • PTT ... INR < 2.3 - APTT ... treatment #management #hematology
Clot in Transit on POCUS Echocardiogram

Not something you ever want to see! How much should clot
Clot in Transit ... on POCUS Echocardiogram ... ClotInTransit #POCUS ... s4c #cardiology #thrombus ... #VTE #pulmonaryembolism