6 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
thickening, distal to elbows ... myocardial fibrosis, pericarditis ... (interstitial lung ... #rheumatology #diagnosis ... #signs #symptoms
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... you see on this SC ... has pericardial effusion ... Had diagnostic tap-fever ... clinical #cardiology #A3C
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... , Restrictive lung ... syndromes Heart (25%): Pericarditis ... erythematosus #signs ... #symptoms #diagnosis
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
of pericardium (Pericarditis ... pain, pleural effusion ... cause interstitial lung ... pathophysiology #signs ... #symptoms #diagnosis
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was enough to diagnose ... and Kussmaul’s sign ... Echocardiogram #POCUS ... clinical #cardiology #a4c