39 results
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... Had diagnostic tap-fever ... #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... • Chest pain, pericarditis ... Abnormal ECG, echocardiogram ... shock, sudden cardiac
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... runner presents to clinic ... circumferential pericardial ... expiration not meeting diagnostic ... #a4c #pocus #clinical
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... > Constrictive pericarditis ... , Pericardial Tamponade ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Pneumothorax, Cardiac ... , Constrictive pericarditis ... #Differential #Diagnosis ... #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... , DIC, TMA • Cardiac ... : pericarditis, ... #management #treatment
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
or definitive treatment ... • External cardiac ... and more durable treatments ... Pacing #cardiology #diagnosis ... #management #transcutaneous
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... thoracotomy is a better treatment ... Plan definitive management ... toward the largest pericardial ... #Management #Workup