Bedside Cardiac Ultrasound: Suprasternal Notch View-Detected Pulmonary Artery Clot in Transit

A 59-year-old man with known hypertension presented to the Emergency Department with 3  weeks of worsening shortness of breath and pleuritic chest pain. On arrival, vitals demonstrated a temperature of 36°C (98.2°F), heart rate of 120 beats/min, blood pressure of 134/87 mm Hg, respiratory rate of 40 breaths/min, and SpO2 of 96% on 6 L nasal cannula. A 12-lead electrocardiogram de monstrated inferior lead t-wave inversions. Physical examination revealed bibasilar crackles and left calf tenderness. Laboratory results demonstrated a D-dimer> 4000  ng/mL and high-sensitivity serial troponins of 77 ng/L and 97 ng/L.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research