21 results
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... with signs of tamponade ... (S4c) RA collapse ... = earliest sign. ... sensitive sonographic sign
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 ... • Cardiac: myocardial ... fibrosis, pericarditis ... rheumatology #diagnosis #signs
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
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
50%): Pleurisy / effusion ... syndromes Heart (25%): Pericarditis ... erythematosus #signs ... #symptoms #diagnosis
Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency - Signs and Symptoms
 • Brain: Androgenization effects, Glucocorticoid effects,
Hydroxylase Deficiency - Signs ... and Symptoms • ... Cardiovascular: Abnormal cardiac ... early epiphyseal fusion ... Hydroxylase #Deficiency #Signs
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... Consider cardiac
Growth Hormone Excess - Pathogenesis and clinical findings
 • Acromegaly and gigantism share the same pathophysiology
to growth plate fusion ... after growth plate fusion ... Cardiovascular disease: • Cardiac ... Overproduction #diagnosis #signs ... #symptoms #endocrinology
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
of pericardium (Pericarditis ... pain, pleural effusion ... pathophysiology #signs ... #symptoms #diagnosis
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
patient experiencing cardiac ... volume to restore perfusion ... currently experiencing signs ... or symptoms of
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Consider IL NS/LR infusion ... dilated IVC - Cardiac ... > Constrictive pericarditis ... Cardiac surgery?