Challenge arterial echocardiogram effusion psax pericardial differential diagnosis dyspnea

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Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's

Malignant Pericardial ... Effusion causing ... cancer patient's dyspnea ... Cardiac #Tamponade #Echocardiogram ... POCUS #Clinical #PLAX

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Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
- Lymphangitic spread to lung
- Malignant pleural effusion

Dyspnea - Considerations ... effusion - Lung ... - Coronary arteries ... #algorithm #differential ... #diagnosis #oncology

Mediastinal Widening - Differential Diagnosis

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

Mediastinal Widening - Differential ... Diagnosis • ... Enlarged pulmonary arteries ... , Venous or arterial ... effusion • CXR

Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
• Effusion
• Cardiac Tamponade*
• Constriction
Myocardial
•

Causes of Chronic Dyspnea ... - Differential ... Diagnosis Algorithm ... Pericardial ... Arrhythmia • Atrial

POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior

for Tamponade - Pericardial ... Effusion - Diastolic ... Systolic Right Atrial ... Tamponade #POCUS #Diagnosis ... #Echocardiogram

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Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
- Right Ventricular

Parasternal Long Axis (PLAX ... Hypertrophy - Pericardial ... Effusion - Dilated ... @emspocus #Diagnosis ... #POCUS #Echocardiogram

Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
• Myocardium:
- Heart failure
- CAD/ACS
- Valvulopathy
• Electrical:
-

Dyspnea - Differential ... Diagnosis Framework ... - Too slow • Pericardium ... • Pleura: - Effusion ... #sob #differential

Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
• Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
• Bacterial: Mycobacterium

Effusion - Differential ... Diagnosis Infectious ... Parvovirus • Bacterial ... #Effusion #Differential ... #Diagnosis #Causes

Dilated Coronary Sinus on Echocardiogram (PSAX)

Dilated coronary sinus can mimic pericardial effusion in the parasternal

(PSAX) Dilated ... effusion in the ... Pericardial effusion ... Differentiate from ... #PSAX #clinical

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

Parasternal short axis (PSAX ... presents with 1 wk of dyspnea ... Has new large pericardial ... effusion in addition ... #Cardiology #PSAX

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