11 results
Giant LV Thrombus on Echocardiogram
Is anticoagulation enough for this nasty LV thrombus?  I feel like
Giant LV Thrombus ... Echocardiogram Is anticoagulation ... for this nasty LV ... thrombus? ... clinical #cardiology #a4c
The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
Thrombin, then primes ... and endothelial cells ... #clot #PT #PTT ... diagnosis #models #hematology ... pathophysiology #anticoagulation
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
Thrombus in transit ... Pt had extensive ... later with normal LV ... Echocardiogram #A4C ... PulmonaryEmbolism #Thrombus
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... blood cultures, cardiac ... #Cardiac #LV #Echocardiogram ... #A4C #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
with or without LV ... thrombus, RV systolic ... and timing with Cardio-OB ... suggest prophylactic anticoagulation ... follow-up with Cardio-OB
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT ... • Increased thrombin ... Fibrinogen: ↓ • PT ... Schistocytes, helmet cells ... treatment #management #hematology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Coagulation factors: PT ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... intestines, White blood cells ... #differential #Hepatology
Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife.
Cardiac Standstill ... lytics in a younger pt ... septal bowing into LV ... dilate to size of LV ... Echoardiogram #ACLS #S4C
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... dysfunction or LV ... Anticoagulation ... indication of AC ... postoperative cardiac
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
• Transfusion Cardiac ... potassium from lysed cells ... RBCs (stored at 4C ... diagnosis #management #hematology