UOTW #36

61 yo female with no previous medical history presenting with nausea, vomiting and epigastric pain that began approximately 4 hours after eating at a mexican restaurant. Vital signs showed sinus tachycardia and mild hypoxia with the patient sating 92% on room air.  Abdominal ultrasound was performed, identifying a normal gallbladder. However, due to the patients age and abnormal vital signs, an echo was performed immediately after the gallbladder ultrasound and identified the following:

Answer

6 thoughts on “UOTW #36

  1. Apical 4 chamber view shows poor LV function – the apex is akinetic.
    Lung views demonstrate B-lines which in this context likely means pulmonary edema .
    You didn’t mention what ECG looks like.
    Thanks!

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