10 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
NONIATROGENIC • Malignancy ... (e.g., metastatic ... spread: lung cancer ... sarcomas, and many carcinomas ... patients with pulmonary
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... when possible (eg ... dysrhythmias (eg ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Lung Abscess - Clinical ... • Vasculitis (e.g ... polyangiitis) • Malignancy ... #Abscess #pulmonary
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Malignant RV Mass ... including negative ECG ... was metastatic pulmonary ... sarcomatoid carcinoma ... #clinical #cardiology
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
exudative pleural effusions ... Acute toxicity (e.g ... Chronic toxicity (e.g ... embolism - Malignancy ... #diagnosis #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... drugs, seizures, malignancy ... output - Acute pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... unless prior heart/lung ... medical and surgical management
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... not be subtle e.g ... vs infection vs malignancy ... E.g. 80 yo ESR cutoff ... Symptoms #Diagnosis #Management