CXR+radiology+pocus lateral effusion anatomy psax aortic cxr clinical pericardial cardiology hemorrhagic dissection cancer amyloidosis

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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

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

Hemorrhagic Pericardial ... infarction • Aortic ... dissection - proximal ... #Hemorrhagic #Pericardial ... Differential #Diagnosis #cardiology

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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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 ... #clinical #cardiology

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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 ... #clinical #cardiology

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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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Fibrinous pericardial effusion with tamponade on POCUS

80F w AFib w pacemaker on warfarin presents with n/v

condition 4 d later ... : TB, cancer, bact ... #hemorrhagic #POCUS ... #Clinical #Echocardiogram ... #PSAX #Cardiology

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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 - 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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PA view
On the PA chest-film it is important to examine all the areas where the lung

we will discuss later ... pleural thickening, hemorrhage ... , aneurysm, dissection ... #Clinical #Anatomy ... #Radiology #CXR

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

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

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