10 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
elevation of acute pericarditis ... large clot and tamponade ... clinical #cardiology #a4c
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 ... of constrictive pericarditis ... velocity of 9.5 cm/sec ... Echocardiogram #a4c
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac Tamponade ... , Constrictive pericarditis ... Dehydration Shock ... algorithm #treatment #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... , Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... > Constrictive pericarditis ... , Pericardial Tamponade ... #Diagnosis #Management
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... you see on this SC ... Lupus pericarditis ... can be seen in tamponade ... clinical #cardiology #A3C
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... tachycardia • S3, S4 ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... pneumothorax, cardiac tamponade ... , constrictive pericarditis ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock, cryptic ... shock. ... pneumothorax, cardiac tamponade ... , constrictive pericarditis ... types #diagnosis #management
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... diagnosing cardiac tamponade ... for definitive management ... MetroHealth_EM #Cardiac #Tamponade ... trauma #cardiology #s4c