Middle aged male presenting with severe shortness of breath. | Figure 1

lhof99

Emergency Medicine

Middle aged male presenting with severe shortness of breath. Coming from rehab after extensive spinal surgery 2 weeks prior to arrival. On prophylactic lovenox. Patient hypotensive, tachycardic, tachypneic and mildly hypoxic on initial evaluation. Still images from bedside ED cardiac ultrasound.

What's your differential and management plan?


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