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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
metastatic spread: lung ... Complications of acute ... patients with pulmonary ... the hemorrhagic fluid ... Differential #Diagnosis #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... Given several fluid ... Pericardial fluid ... #Effusion #Cardiac ... PLAX #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... Given several fluid ... Pericardial fluid ... #Effusion #Cardiac ... A4C #clinical #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , marked pedal edema ... , and clear lungs ... effusion. ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... bilateral pleural effusions ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... position Obstructive lung ... dyspnoe due to acute ... The following signs ... #Clinical #Radiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... edema - Large ... effusion(s) may ... the volume - Fluid ... #HeartFailure #Cardiology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Output: Analysis ... Pulmonary Artery ... • PULMONARY A ... precede other signs ... comparison #challenges #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... Signs of poor perfusion ... with presence of pulmonary ... differential #algorithm #management ... #cardiology #treatment