10 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... NONIATROGENIC • Malignancy ... are uncommon - 1 ... to 2% of patients ... #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Cardiac Tamponade ... Prats @PratsEM #Malignant ... #clinical #ultrasound ... #POCUS #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing ... Prats @PratsEM #Malignant ... #clinical #ultrasound ... #POCUS #cardiology
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... has water bottle appearance ... large pericardial effusion ... Echocardiogram #Cardiology ... #A4C
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Late appearance ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... #pocus #bubble
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... presents with 1 ... has water bottle appearance ... large pericardial effusion ... Echocardiogram #Cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
defect (Type 1) ... anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... left heart 3-6 cardiac ... Arterial blood gas (ABC
Cardiac metastasis of lung cancer (2D/3D TTE)

What is the most common type of cancer to metastasize
malignancies (10%–21%): malignant ... metastasize (>1/ ... 2 melanoma cases ... echocardiogram #pocus ... #a4c #3d
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Hypercalcemia of malignancy ... immediate treatment 1. ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... Oncology #HemeOnc #Diagnosis