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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 ... )- Differential ... • Malignancy (e.g ... OTHER RARE CAUSES ... #Differential #
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Echocardiogram #clinical ... #effusion #pericardial
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
by Mechanism Renal ... Excessive IV Mg infusion ... (e.g. eclampsia ... Hypermagnesemia #Differential ... Magnesium #Table #Causes
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Also has pericardial ... effusion/pericardial ... Septal bounce, etc ... Echocardiogram #clinical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C #Clinical
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial ... demonstrating ECG ... effusion, female ... #malignant #clinical ... #cardiology #pocus
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute ... Cardiac injury (e.g ... perforation (e.g ... Metabolic disorders: Renal ... #Pericarditis #Differential
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... • Alimentary (e.g ... (e.g. ... Hepatic Failure, Renal ... Hyperinsulinemic States (e.g