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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
NONIATROGENIC • Malignancy ... (e.g., metastatic ... patients with pulmonary ... have to repeat if malignancy ... Differential #Diagnosis #cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myocarditis - CAD/ACS ... dissection - SCAD • Pericardium ... : - Pericarditis ... - Tamponade Pulmonary ... • Pleura: - Effusion
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
You are all correct ... w/ a moderate pericardial ... effusion (likely ... Dx pericarditis ... #EKG #ECG #Pericarditis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... TIMI III flow in all ... major epicardial ... #DCSI #Initiative
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... , Pericardial Tamponade ... - Pulmonary
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Pericarditis ... QRS complex Pulmonary ... Prinzmetal's Angina: • Epicardial ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
erythematosus (ACLE ... Infections • Malignancy ... Lungs: • Pleural effusions ... Serositis: • Pleural/pericardial ... • Asymptomatic pericarditis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... ECG is vital while ... #differential #algorithm ... #management #cardiology