We just returned from the Mok Mai region in rural Laos- after an intense week-long training session with local providers using Ultrasound and providing Reproductive Health Education with LearnToLive headed by our fearless leader Yanti Turang. Thanks to our crew for all of your hard work and energy!
A 64yo female, h/o hyperthyroidism, presented with progressively worsening shortness of breath, chest pain, weight loss and lower extremity edema. Her bedside echo revealed the following:
The bedside echo revealed a left atrial mass. She was admitted, underwent cardiac catheterization and left atrial mass removal, with a diagnosis of left atrial myxoma. Myxomas are the most common type of primary cardiac tumor. 75% of these occur in the left atrium of the heart and 75% occur in females. Approximately 10% of myxomas are familial. Our patient denied any known family history of cardiac disease or masses. The majority of myxomas are benign, however potential complications include embolization and spread of the tumor, mechanical complications and potential recurrence after resection and removal.
A 72yo female presented with palpitations, weakness and decreased exercise tolerance over the past two months. The morning of presentation she felt dizzy and weaker than usual. Her initial EKG demonstrated aflutter with variable block. Her BP was elevated to 210/120, with a HR in the 160’s. A bedside echo was obtained which revealed the following:
During bedside echo, as seen in the parasternal short view, the patient spontaneously converted to sinus rhythm. Her symptoms only mildly improved, and she remained hypertensive. She then began reporting epigastric and periumbilical abdominal pain. We took a look at her abdomen and found the following:
The images obtained reveal an aortic dissection. She underwent chest and abdominal CTA which showed a AAA extending from the celiac artery to the left common iliac artery. She was admitted and medically managed with anticoagulation and antihypertensives. She did well, was discharged home and scheduled for an outpatient scheduled ablation.