10 results
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... Thrombus in transit ... Pt had extensive ... #Clinical #POCUS ... Echocardiogram #A4C
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
pt not in distress ... @eabramsMD #Clinical ... #POCUS #Echocardiogram ... #A4C #McConnells ... #Clots #InTransit
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
PT and/or aPTT ... Congenital intrinsic ... drugs e.g. direct thrombin ... #PT #aPTT #Prolonged ... #Causes #diagnosis
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
PT and the aPTT ... affected in the intrinsic ... drugs (e.g. direct thrombin ... amyloidosis #Abnormal ... #PT #aPTT #Prolonged
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
PT/NORMAL PTT: ... PT/ABNORMAL PTT ... PT/NORMAL PTT: ... PT/ABNORMAL PTT ... warfarin, direct thrombin
The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
along with FXIIa (intrinsic ... Thrombin, then primes ... #clot #PT #PTT ... #diagnosis #models ... pathophysiology #anticoagulation
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Prolonged PT ... • Increased thrombin ... organ damage Clinical ... INR < 2.3 - APTT ... #Coagulation #diagnosis
Greater Saphenous Vein Thrombosis on POCUS
Pt-leg pain/redness/swelling. Proximal TRV image. 
Diagnosis: Greater Saphenous Vein Thrombosis without
Thrombosis on POCUS ... Pt-leg pain/redness ... Diagnosis: Greater ... be treated with anticoagulation ... #clinical #ultrasound
Normal Deep Veins on POCUS
This patient had no thrombus seen in bilateral proximal compression scan from
on POCUS This ... patient had no thrombus ... Has spont echo contrast ... and pursue other diagnoses ... #Clinical #ultrasound
This is the bedside Echo of a critically ill young lady who was transferred in profound
Her working diagnoses ... #POCUS #Cardiac ... #A4C #MassivePE ... #Embolism #Thrombus ... #Clots #InTransit