#MedEd image of the day. What's wrong with the 🫀?
Clinical: A woman in 40s with h/o severe mitral stenosis secondary to rheumatic heart disease & Afib presented with worsening dyspnea, orthopnea, & chest pain x 7 months
See thread for #echofirst images and source/answer.
#POCUS
Clinical: A woman in 40s with h/o severe mitral stenosis secondary to rheumatic heart disease & Afib presented with worsening dyspnea, orthopnea, & chest pain x 7 months
See thread for #echofirst images and source/answer.
#POCUS
Apical 4-chamber view showing severe right atrial enlargement and annular dilatation of the tricuspid valve during systole.
Severe TR as expected.
X-ray is post-op (white midline ring is the tricuspid annuloplasty ring); demonstrates right atrium extending to the chest wall periphery with compression of the right lung.
Source article: 🔗ahajournals.org/doi/10.1161/CI…
Source article: 🔗ahajournals.org/doi/10.1161/CI…
+ massively dilated IVC ~6 cm
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