Point-of-Care Ultrasound Diagnosis of Pulmonary Embolism with Thrombus in Transit

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" Point-of-Care Ultrasound Diagnosis of Pulmonary Embolism with Thrombus in Transit "
Kahl, Nicolas; Gabriel, Christopher; Lahham, Shadi; Thompson, Maxwell; Hoonpongsimanont, Wirachin

Document Type	:	AL
Record Number	:	928032
Doc. No	:	LA5n82h38b
Language of Document	:	English
Main Entry	:	Kahl, Nicolas; Gabriel, Christopher; Lahham, Shadi; Thompson, Maxwell; Hoonpongsimanont, Wirachin
Title & Author	:	Point-of-Care Ultrasound Diagnosis of Pulmonary Embolism with Thrombus in Transit [Article]\ Kahl, Nicolas; Gabriel, Christopher; Lahham, Shadi; Thompson, Maxwell; Hoonpongsimanont, Wirachin
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	3/1
Date	:	2019
Abstract	:	A 95-year-old female with a history of dementia and atrial fibrillation (not on anticoagulation) presented to the emergency department (ED) by ambulance from her skilled nursing facility due to hypoxia. Point-of-care ultrasound was performed, and showed evidence of a large mobile thrombus in the right ventricle on apical four-chamber view. Further evidence of associated right heart strain was seen on the corresponding parasternal short-axis view. These ultrasound findings in combination with the patient’s clinical presentation are diagnostic of acute pulmonary embolism with right heart strain. Point-of-care transthoracic cardiac ultrasound in the ED is an effective tool to promptly diagnose acute pulmonary embolism with right heart strain and thrombus in transit and guide further treatment.