Ultrasound for Critical Care Physicians: Dyspnea

A 62 year old man with metastatic melanoma presented to the Emergency Department with dyspnea, hypoxemia, and tachycardia. A bedside ultrasonography was performed (Figure 1).

Figure 1. Four chamber view of the beside ultrasonography

Which of the following diagnosis is most compatible with the ultrasound findings? (Click on the correct answer to proceed to the next panel)

1. Cardiac thrombus
2. Cardiogenic shock
3. Mitral stenosis
4. Pericardial effusion
5. Pulmonary embolism

Reference as: Thompson MJ. Ultrasound for critical care physicians: dyspnea. Southwest J Pulm Crit Care. 2014;8(2):96-8. doi: http://www.dx.doi.org/10.13175/swjpcc009-14 PDF