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

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Hemopericardium)- Differential ... • Malignancy (e.g ... Hemopericardium #Differential ... #Diagnosis #cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
Short axis of this ... mesmerizing: Malignant effusion ... alternans on the ECG ... Echocardiogram #PSAX ... ElectricalAlternans #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial Effusion ... Echocardiogram (PLAX ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #PLAX #MMode
Pericardial Effusion on POCUS Echocardiogram

Parasternal short axis with moderate pericardial effusion. No clear evidence of tamponade.

Dr.
Pericardial Effusion ... Parasternal short ... #Pericardial #Effusion ... POCUS #clinical #cardiology ... #PSAX #labeled
Dilated Coronary Sinus on Echocardiogram (PSAX)

Dilated coronary sinus can mimic pericardial effusion in the  parasternal
Echocardiogram (PSAX ... the parasternal short-axis ... Pericardial effusion ... Differentiate from ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... deWinter T waves - starts ... electrocardiogram #cardiology ... Interpretation #differential
Lateral Wall Motion Abnormality on POCUS Echocardiogram (PSAX)

Parasternal Short Axis View shows lateral wall motion abnormality
Echocardiogram (PSAX ... Parasternal Short ... small pericardial effusion ... Echocardiogram #ultrasound #PSAX ... #PSSA #cardiology
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
checkpoint inhibitors (e.g ... There are case reports ... of pleural effusion ... Clinical #Diagnosis #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... Adequate perfusion ... #diagnosis #differential ... algorithm #management #cardiology