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" Bedside Echocardiography for Undifferentiated Hypotension: Diagnosis of a Right Heart Thrombus "
Kenny, James F.; Zhong, Xun; Brown, Cara; Das, Devjani; Royall, Brock; Kapoor, Monica
Document Type
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AL
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Record Number
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933657
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Doc. No
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LA2bc147nw
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Language of Document
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English
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Main Entry
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Kenny, James F.; Zhong, Xun; Brown, Cara; Das, Devjani; Royall, Brock; Kapoor, Monica
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Title & Author
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Bedside Echocardiography for Undifferentiated Hypotension: Diagnosis of a Right Heart Thrombus [Article]\ Kenny, James F.; Zhong, Xun; Brown, Cara; Das, Devjani; Royall, Brock; Kapoor, Monica
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Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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Volume/ Issue Number
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16/1
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Date
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2015
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Abstract
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A free-floating right heart thrombus is often a harbinger of a massive pulmonary embolism and must be diagnosed and treated rapidly in order to avoid significant adverse sequelae. We present the case of an 84-year-old female who presented with two days of dyspnea and was hypotensive on arrival. Bedside ultrasound was performed by the emergency physician and showed a large, mobile right heart thrombus leading to immediate administration of a thrombolytic. In this case, bedside ultrasound was utilized to help further delineate clinical care in a progressively worsening patient, leading to a potentially lifesaving treatment. [West J Emerg Med. 2015;16(1):–0.]
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