CXR+radiology+pocus dislocation aortic clinical effusion dissection cardiology pericardial cxr pocus amyloidosis hemopericardium differential

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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:

Effusions (Hemopericardium ... infarction • Aortic ... dissection - proximal ... #Effusion #Hemopericardium ... Diagnosis #cardiology

Mediastinal Widening - Differential Diagnosis

• Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or

Mediastinal Widening - Differential ... • Vascular: Aortic ... dissection, Aortic ... effusion • CXR ... Diagnosis #pulmonary #radiology

Aortic Dissection Sagittal View POCUS

Take a look at the appearance of a pericardial effusion, as well

Aortic Dissection ... effusion, as well ... The radiology resident ... #POCUS #Aorta # ... Aortic #Dissection

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Aortic Dissection on POCUS Echocardiogram (PLAX)

Parasternal long axis of the heart showing a dilated AOFT >4cm

Aortic Dissection ... and a pericardial ... effusion. ... #Dissection #POCUS ... #cardiology #labeled

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Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1

Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... #Cardiology #S4C

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Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1

Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... #Cardiology #PSAX

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Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1

Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... #Cardiology #A4C

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Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1

Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... #Cardiology #PLAX

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Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens

Aortic Dissection ... of associated pericardial ... effusion/tamponade ... #Dissection #POCUS ... #cardiology

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Pericardial Hemangioma on Echocardiogram (PLAX)
DDx on this para-aortic pericardial mass?
Radiologist on CT: “No enchancement on

DDx on this para-aortic ... ECHO appearance differentials ... avid lesions CMR ... Echocardiogram #PLAX #pocus ... #clinical #cardiology

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