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Thrombus in Transit and Impending Pulmonary Embolism Detected on POCUS in a Patient with COVID-19 Pneumonia.
Kariyanna, Pramod Theetha; Hossain, Naseem A; Jayarangaiah, Apoorva; Hossain, Nimrah A; Uppin, Vaibhavi; Hegde, Sudhanva; Capric, Violeta; Salifu, Moro O; McFarlane, Samy I.
  • Kariyanna PT; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • Hossain NA; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • Jayarangaiah A; Division of Hematology and Oncology, Department of Internal Medicine, Jacobi Medical Center, Albert Einstein School of Medicine, New York, USA- 10461.
  • Hossain NA; Department of Internal Medicine, New York Presbyterian- Brooklyn Methodist Hospital, Brooklyn, New York, USA- 11215.
  • Uppin V; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • Hegde S; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • Capric V; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • Salifu MO; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
  • McFarlane SI; Department of Internal Medicine, State University of New York, Downstate-Health Science University, Brooklyn, New York, USA, 11203.
Am J Med Case Rep ; 8(8): 225-228, 2020.
Article in English | MEDLINE | ID: covidwho-1989681
ABSTRACT
Coronavirus disease 2019 (COVID-19) is a pandemic that started in China in December 2019 and carries a high risk of morbidity and mortality. To-date (4-22-2020) it affected over 2.6 million people and resulted in nearly 200,000 death worldwide mainly due to severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2). Among the major underlying pathophysiologic mechanisms in COVID 19 is hypercoagulability, leading to increased risk for deep vein thrombosis and pulmonary embolism that contribute to increased morbidity and mortality. In this report, we present the case of a 55-year-old man who presented with COVID-19 pneumonia, and was found to have a thrombus in transit by routine point of care ultrasound (POCUS). While computer tomography (CT) angiography is the test of choice, the utilization of point of care ultrasound (POCUS) has gained traction as an adjunctive means of surveillance for the development of VTE in patients with COVID-19. In this report, we discuss the clinical utility of POCUS in diagnosing thrombus in transit in COVID 19 populations.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Am J Med Case Rep Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Journal: Am J Med Case Rep Year: 2020 Document Type: Article