This 56 year old male presents with right sided hemiparesis and expressive aphasia. What finding here could be the origin of these symptoms?
48 yo male transfer from an OSH with the diagnosis of a DVT. The patient had no past medical history and was experiencing leg pain after a 5 hour plane ride and subsequently was found to have an elevated d-dimer, no further imaging was obtained prior to the patient being transferred. The patient did report some shortness of breath, so an ultrasound was used to look for evidence of right heart strain (RHS), and the following images were obtained. What is the diagnosis?
This patient is a 28 year old male who was brought to you by EMS after he was found lying unconscious in his apartment by his family. The only medical history known by EMS is the patient was recently admitted for severe pancreatitis and has an indwelling PICC line in his LUE. EMS found the patient to be pale, bradypnic with a GCS of 3, O2 sat 75%. EMS RSI’d the patient and placed him on PEEP 8, TV 10 mg/kg, FiO2 100%. The O2 sat was noted to decrease to the mid 50s immediately after intubation, and remained there. In the ED, the patient’s vitals are: BP 120/84 P 105 O2 sat 56% T 97.5F. The patient appears severely cyanotic, but has normal pulses and symmetric breath sounds.