20 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 ... circumferential pericardial effusion ... 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 ... Symptoms: • Cardiac ... myocardial fibrosis, pericarditis ... #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 ... with similar peri effusion ... Had diagnostic tap-fever
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... Echocardiographic Signs ... Tamponade: pericardial effusion ... internal or external fluid ... #criticalcare #diagnosis
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Hemopericardium on POCUS ... Diagnosis? ... of pericardial fluid ... Echocardiogram #S4C ... #Pericardial #Effusion
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in surrounding fluid ... good enough at diagnosing ... EM_RESUS #Clinical #POCUS ... Echocardiogram #Cardiac ... #Pericardial #Effusion
Pericardial Consistency Comparison on POCUS - Blood, Fat, Pus and Serous

Unclotted blood remains anechoic around clotted
Comparison on POCUS ... independently from cardiac ... Serous effusion ... Consistency #Comparison #Fluid ... Echocardiogram #S4C
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
precede other signs ... quickly (30-90 sec ... response to the rapid infusion ... CO during a 15 sec ... Tolerance #testing #diagnosis
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
of pericardium (Pericarditis ... nociceptors & induces fluid ... pain, pleural effusion ... pathophysiology #signs ... #symptoms #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Consider IL NS/LR infusion ... > Constrictive pericarditis ... Cardiac surgery?