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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... patients with pulmonary ... CAUSES • PRIMARY Cardiac ... Primary systemic amyloidosis
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #pocus #PLAX #MMode
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #Cardiology #PLAX
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #Cardiology #A4C
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #Cardiology #S4C
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #Cardiology #PSAX
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... #Echocardiogram ... A4C #Clinical #Cardiology
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... dysfunction or pulmonary ... hypertension Pericardial ... involvement: - Effusion ... ECG Abnormalities