Case 03

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Case 03 – collapse in surgical ward

CASE Description:Ms. Smith had been admitted for an elective cholecystectomy due to chronic cholecystitis. The surgery was uneventful, and she was transferred to the surgical ward postoperatively. While ambulating to the restroom, Ms. Smith suddenly collapsed. Nursing staff found her unresponsive. After approximately 30 seconds, she regained consciousness but appeared pale, sweaty, and disoriented. You are called for assessment
Her vital signs were: BP 80/50 mmHg, pulse 110 bpm (weak and thready), respiratory rate 24 breaths/min, and oxygen saturation 95% on room air.


Press here for Findings

Lung: Normal findings
Heart: Small pericardiel effusion in SC-view. Severe reduced left ventricular funtion due to myocardial infarction. Hypo-/akinesia in apical muscle and free wall, compatible with trombosis in Left circumflex artery (LCx) and Posterior descending artery of RCA and LCx. Demonstrate figure with hearts coronary arteries territories.
Abdomen: Normal – without free fluid


01_Lung_Ant_Right (Normal)

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01_Lung_Ant_Right – Normal

02_Lung_Ant_Left (Normal)

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02_Lung_Ant_Left – Normal

03_Lung_Posterior_axillary_Right (Normal)

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03_Lung_Posterior_axillary_Right – Normal

04_Lung_Posterior_axillary_Left (Normal)

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04_Lung_Posterior_axillary_Left – Normal

10_Heart_SC (Pericardiel effusion)

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10_Heart_SC – Pericardiel effusion

11_Heart_A4CH (Myocardial Infarction (MI))

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11_Heart_A4CH – Myocardial Infarction (MI)

12_Heart_PLAX (Myocardial Infarction (MI))

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12_Heart_PLAX – Myocardial Infarction (MI)

13_Heart_PSAX (Myocardial Infarction (MI))

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13_Heart_PSAX – Myocardial Infarction (MI)

20_Abdomen_RUQ_Perihepatic (Normal)

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20_Abdomen_RUQ_Perihepatic – Normal

21_Abdomen_RUQ_FreeEdgeLiver (Normal)

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21_Abdomen_RUQ_FreeEdgeLiver – Normal

22_Abdomen_LUQ_Perisplenic (Normal)

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22_Abdomen_LUQ_Perisplenic – Normal

22_Abdomen_LUQ_Perisplenic (Normal)

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22_Abdomen_LUQ_Perisplenic – Normal

23_Abdomen_Pelvic_Sagittal (Normal)

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23_Abdomen_Pelvic_Sagittal – Normal

24_Abdomen_Pelvic_Transverse (Normal)

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24_Abdomen_Pelvic_Transverse – Normal

25_Abdomen_Aorta_Transverse (Normal)

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25_Abdomen_Aorta_Transverse – Normal

Demonstration (Figure)

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26_Abdomen_Aorta_Sagittal – Demonstration

Demonstration (fig_heart_coronary_arteries_territories2.jpeg)

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26_Abdomen_Aorta_Sagittal – Demonstration