14 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
elevation of acute pericarditis ... Developed severe dyspnoea ... effusion with large ... #effusion #clot ... clinical #cardiology #a4c
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
Differential Diagnosis of Pericardial ... Effusion Trauma ... Pericarditis ... #Effusion #Differential ... Management #Emergency #Algorithm
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
Dyspnea - Considerations ... Malignant pleural effusion ... - Malignant pericardial ... effusion - Lung ... #algorithm #differential
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... similar sized effusion ... clinical #cardiology #s4C
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... with similar peri effusion ... clinical #cardiology #A3C
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... Differential Diagnosis Algorithm ... Pericardial ... • Effusion • Cardiac ... Acidosis #Chronic #Dyspnea
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... pedal edema, and clear ... circumferential pericardial ... effusion. ... Echocardiogram #a4c
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... Differential Diagnosis Algorithm ... • Constrictive pericarditis ... Pleura: • Pleural effusion ... amzn.to/2LmUODZ #Dyspnea
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... pleuritic CP, Dyspnea ... swelling, Wells score Pericarditis ... on sitting up, Pericardial ... Diagnosis #Management #Algorithm
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Inflammation of pericardium ... (Pericarditis) ... extravasation -> Dyspnea ... pain, pleural effusion ... mechanism unknown) -> Dyspnea