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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 ... patients with pulmonary ... have to repeat if malignancy ... Differential #Diagnosis #cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... Control rate (e.g ... #management #cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
is mesmerizing: Malignant ... effusion in a young ... alternans on the ECG ... PericardialEffusion #Clinical #POCUS ... ElectricalAlternans #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial Effusion ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #PLAX #MMode
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... infection and malignancy-associated ... reports of pleural effusion ... Clinical #Diagnosis #Radiology
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
Malignant Pericardial ... on POCUS Echocardiogram ... BP stable. ... RJonesSonoEM #Malignant ... Echocardiogram #A4C #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... & Dry) is the treatment ... algorithm #management #cardiology ... #treatment #table