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Woman with complete left sided hemiparesis and altered mental status

Chavda, Yash; Vazquez, Nina; Gonzalez, Erin K.
SCOPUS:85180580303
ISSN: 2405-4690
CID: 5630442

Man with pleuritic chest pain

Chavda, Yash; Givergis, Roshan
PMCID:10169769
PMID: 37180954
ISSN: 2688-1152
CID: 5544032

Shortness of breath with an aortic valve mass [Case Report]

Chavda, Yash; Givergis, Roshan
PMCID:9212960
PMID: 35756581
ISSN: 2405-4690
CID: 5263342

Where There's Smoke, There's Fire: A Case Report of Turbulent Blood Flow in Lower Extremity Point-of-care Ultrasound in COVID-19

Nelson, Mathew; Shi, Dorothy; Gordon, Miles; Chavda, Yash; Grimaldi, Christina; Bajaj, Tanya
INTRODUCTION/BACKGROUND:Coronavirus disease 2019 (COVID-19) may predispose patients to increased risk of venous thromboembolism (VTE) due to various pathophysiological mechanisms, including but not limited to endothelial injury, inflammation, cytokine-mediated microvascular damage, and reactive thrombocytosis. A high risk of vessel thrombosis correlates with disease severity, making early identification and treatment of prime consideration.Although identification of a deep venous thrombosis (DVT) or pulmonary embolism warrants immediate treatment with anticoagulation, trying to predict which COVID-19 patients may be at increased risk for developing these pathologies is challenging. CASE REPORTS/METHODS:We present two cases of patients with COVID-19 who had ultrasonographic findings of turbulent blood flow within the deep venous system, without clear evidence of acute proximal DVT, who were subsequently found to have significant VTE. CONCLUSION/CONCLUSIONS:Point-of-care lower extremity ultrasound has become one of the core applications used by emergency physicians. Typically we perform compression ultrasound for DVT evaluation. This novel finding of turbulent blood flow, or "smoke," within the deep venous system, may serve as a marker of increased risk of clot development and could be an indication to consider early anticoagulation.
PMCID:7872592
PMID: 33560947
ISSN: 2474-252x
CID: 5263332