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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... )- Differential ... Diagnosis Framework ... #Hemorrhagic #Pericardial ... Diagnosis #cardiology
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
Effusion - Differential ... Diagnosis Infectious ... #Effusion #Differential ... #Diagnosis #Causes ... #cardiology
Fibrinous pericardial effusion with tamponade on POCUS

80F w AFib w pacemaker on warfarin presents with n/v
Fibrinous pericardial ... cath lab. >700 ml ... #hemorrhagic #POCUS ... Echocardiogram #PSAX ... #Cardiology
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Life-threatening hemorrhage ... c-spine not cleared; plan ... PTX/HTX and/or pericardial ... pneumothorax C - Hemorrhagic ... Analgesia/sedation plan
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
pericardial effusion ... and Rvol ≥ 30 mL ... Infarction #acuteMI #cardiology ... #differential # ... diagnosis #timeline
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Diagnosis Framework ... level <100 pg/ml ... , cerebral hemorrhage ... #diagnosis #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... coagulopathy) • CBC w differential ... EGPA (↓ LVEF, pericardial ... effusion) • PFTs ... Renal #Syndromes #differential
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Lungs: • Pleural effusions ... Diffuse alveolar hemorrhage ... Serositis: • Pleural/pericardial ... La, anti-Jo-1, SCL