15 results
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
The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
FVa to generate thrombin ... Thrombin, then primes ... and endothelial cells ... #clot #PT #PTT ... diagnosis #models #hematology
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
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
is normal and pt ... What's your management ... Echocardiogram #A4C ... Pulmonary #Embolism #Thrombus
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT ... • Increased thrombin ... Fibrinogen: ↓ • PT ... causes #treatment #management ... #hematology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
with or without LV ... • Idiopathic LV ... thrombus, RV systolic ... and timing with Cardio-OB ... follow-up with Cardio-OB
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
rapidly dividing cells ... • Onset Hours Cardio ... at 48 hours • ALC ... prognosis • ALC ... Toxicity #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Lysis of tumor cells ... lethargy, hematuria, cardiac ... with tetany or cardiac ... TLS #diagnosis #management ... #hematology
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
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