Case Studies

Identifying & Diagnosing Abdominal Aortic Aneurysm

Patient: A 63 year old male patient presented to the ER with peripheral artery embolization (blue toe syndrome of lower limbs). Initial Examination: He had a history of well controlled hypertension and long standing smoking. An echocardiogram was requested to exclude cardiac causes of embolization. Kosmos POCUS Examination: Bedside cardiac examination with Kosmos was grossly normal. However, from the

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Aortic Dissection

Aortic Dissection A 55-year-old, obese (BMI 33 kg/m2) female patient with long-standing hypertension presented to the ER with chest pain radiating to the back. Her ECG had no signs of ischemia. Bedside examination with KOSMOS (challenging acoustic window due to obesity) revealed an intimal flap in the descending thoracic/abdominal aorta from the subcostal window. Her

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Finding Criteria for Myocardial Rupture With POCUS AI

Finding Criteria for Myocardial Rupture With POCUS AI A 75 year old female patient presented to the ER with anasarca edema. She had a history of permanent atrial fibrillation and hypertension. On clinical examination increased jugular venous pressure and a holosystolic murmur was noted. Bedside examination with KOSMOS revealed significantly dilated right heart chambers and

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Finding Criteria for Amyloidosis Diagnosis With POCUS AI

Finding Criteria for Amyloidosis Diagnosis With POCUS AI A 73 year old male patient presented with right sided heart failure. His ECG revealed atrial fibrillation. On clinical examination increased jugular venous pressure and a holosystolic murmur was noted. Bedside examination with KOSMOS revealed thickened LV and RV walls with impaired systolic function of both ventricles.

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Identifying & Diagnosing Ischemic Mitral Regurgitation

Identifying & Diagnosing Ischemic Mitral Regurgitation Patient: A 51 year old female patient presented to the ER with gradually worsening shortness of breath. Initial Examination: She had a history of coronary artery disease and ischemic mitral regurgitation treated with CABG and mitral valve repair three years earlier. On clinical examination a holosystolic apical murmur was

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Identifying & Diagnosing a Pulmonary Embolism

Identifying & Diagnosing a Pulmonary Embolism Initial Examination: He reported SOBOE during the last three days. On clinical examination increased jugular venous pressure and low systolic blood pressure was noticed. Kosmos POCUS Examination: Bedside examination with KOSMOS revealed dilated right ventricle with positive McConnell sign, reduced systolic function (RV – PA uncoupling) and reduced RV

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Identifying & Diagnosing Aortic Stenosis

Identifying & Diagnosing Aortic Stenosis Patient: An 82 year old female patient presented to the ER with symptoms and signs of congestive heart failure. Initial Examination: She had a history of well controlled hypertension treated with beta blockers and diuretics by her primary care physician. On cardiac auscultation a mid-systolic ejection murmur was noted with

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Diagnosing Mitral Valve Fibroelastoma via Echocardiogram

Diagnosing Mitral Valve Fibroelastoma via Echocardiogram Patient: A 53-year-old male patient with no previous medical history presented to the ER with TIA symptoms. Initial Examination: An echocardiogram was requested to exclude cardiac causes of embolization. Kosmos POCUS Examination: Bedside cardiac examination with KOSMOS demonstrated bi-leaflet prolapse of the mitral valve with moderate regurgitation. Closer inspection

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Finding Criteria for Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) with Ultrasound

Finding Criteria for Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) with Ultrasound AI Station, Company December 2, 2021 Patient: A 59-year-old male patient with no previous medical history presented to the ER with dizziness. Initial Examination: The patient was hypotensive and tachycardic. ECG revealed ventricular tachycardia. Due to hemodynamic decompensation successful DC cardioversion to sinus rhythm was

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