<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>