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diagnosis echocardiogram a4c cardiology clinical pericardial signs comparison management rheumatology tamponade testing behcet challenges complex consistency constrictive criticalcare disease extraarticular
Systemic Sclerosis (Scleroderma) Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs 3
thickening, distal to elbows ... skin thickening Signs ... and Symptoms: ... • Cardiac: myocardial ... fibrosis, pericarditis
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 ... velocity of 9.5 cm/sec ... Echocardiogram #a4c ... #pocus #clinical
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 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
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
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 Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
15% increase in cardiac ... precede other signs ... quickly (30-90 sec ... response to the rapid infusion ... CO during a 15 sec
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Given several fluid ... Pericardial fluid ... #Cardiac #Tamponade ... #POCUS #Echocardiogram
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 Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C CA patient with known pericardial effusion who
and Tamponade on POCUS ... Echocardiogram - A4C ... Given IV fluids ... #Tamponade #Cardiac ... #POCUS #clinical
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
Venous disease (SVC ... thrombosis, VTE) • Cardiac ... Disease: Pericarditis ... diagnosis #management #signs ... #symptoms #rheumatology
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