22 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Watch how the heart ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... - a swinging heart ... #tamponade #electrical ... #PSAX #clinical ... #cardiology #pocus
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... failure): • Severe heart ... tamponade, Vascular ... findings based on cause ... table #comparison #criticalcare
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... - Differential Diagnosis ... Algorithm Cardiac ... Left-Sided Heart ... • Pericardial Tamponade
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... #Algorithm #causes
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS Echocardiogram ... could pinpoint the cause ... can be seen in tamponade ... Had diagnostic tap-fever ... #clinical #cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... and Causes Clinical ... Echocardiography, Cardiac ... Endomyocardial: Carcinoid Heart ... #cardiology #algorithm
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... Losses (bums, heat ... Undifferentiated #Shock #diagnosis ... guyton #curves #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #management #clinical ... #criticalcare #