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<br /> Ultrasound<br /> A case study by<br /> David Tierney, MD FACP<br /> Abbott Northwestern Hospital,<br /> Minneapolis, MN<br /> Program Director, IM Residency<br /> Director, IM Bedside Ultrasound program<br /> A patient<br /> with an aortic<br /> valve vegetation<br /> Philips Lumify case study<br /> A 22 year-old female with a history of recurrent severe<br /> asthma presented to the emergency department with<br /> fever, shortness of breath, and confusion. Point-of-care<br /> ultrasound (POCUS) demonstrated findings consistent<br /> with bilateral pulmonary edema, a mobile aortic valve<br /> vegetation, and moderate mitral regurgitation. Later<br /> in her hospital course, a repeat POCUS exam revealed<br /> antero-septal and apical wall motion abnormalities<br /> likely from an embolic vegetation to the left anterior<br /> descending coronary. After Swan-Ganz catheter<br /> placement an IVC thrombus or a vegetation developed.<br /> A patient with an<a title="Philips-POC-DrTierney-CaseStudy_FNL page 1" href="http://viewer.zmags.com/publication/263b8be8?page=1"> Ultrasound A case study by David</a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 2" href="http://viewer.zmags.com/publication/263b8be8?page=2"> A patient with an aortic valve vegetation Clini</a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 3" href="http://viewer.zmags.com/publication/263b8be8?page=3"> POCUS of the heart demonstrated a mobile aortic v</a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 4" href="http://viewer.zmags.com/publication/263b8be8?page=4"> A patient with an aortic valve vegetation </a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 5" href="http://viewer.zmags.com/publication/263b8be8?page=5"> Videos Parasternal long-axi</a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 6" href="http://viewer.zmags.com/publication/263b8be8?page=6"> A patient with an aortic valve vegetation Clin</a> <a title="Philips-POC-DrTierney-CaseStudy_FNL page 7" href="http://viewer.zmags.com/publication/263b8be8?page=7"> A patient with an aortic valve vegetation Concl</a>