35 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... Mediterranean fever ... have to repeat if
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
If you think you ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Hepatocellular Level ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Diagnosis and Management ... dependent injury (ie ... Idiosyncratic #differential ... #Diagnosis #Management ... gastroenterology #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... left heart 3-6 cardiac ... supplemental oxygen if ... SpO2 > 88% • Management ... #treatment #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Skeletal muscle, cardiac ... Skeletal muscle, cardiac ... injury #hepatitis #differential ... diagnosis #algorithm #hepatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... fraction < 20% Differential ... , DIC, TMA • Cardiac ... Pulmonary: pleural effusion ... Disease #diagnosis #management
Hemopericardium in Cardiac Arrest on POCUS Echocardiogram
GSW to left chest. Prehospital arrest. Note has hemopericardium-isoechoic to
Hemopericardium in Cardiac ... Arrest on POCUS ... Echocardiogram ... hemopericardium-isoechoic to liver ... echogenic/isoechoic effusions
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... aHUS, mechanical cardiac ... RBC inclusions - If ... bartonella (oroya fever ... Algorithm #workup #hematology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... wall disruption (i.e ... wall distension (i.e ... venousgas #ultrasound #hepatology ... #liver #pocus #