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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 ... induced • MCTD, Lupus ... #Diagnosis #cardiology
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
absence of the pericardium ... : - CXR: leftward ... shift of the cardiac ... #clinical #cardiology ... #radiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... chest x-ray due to pericardial ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
injury Cardiac ... injury (e.g., cardiac ... - related Medication ... syndrome Systemic lupus ... #Pericarditis #Differential
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
absence of the pericardium ... : - CXR: leftward ... shift of the cardiac ... #chest #radiology ... #clinical
Causes of Pericarditis - Differential Diagnosis Algorithm
Viral:
 • Coxsackie
 • Echovirus
 • Adenovirus
 • Epstein-Barr virus
Pericarditis - Differential ... arthritis • Systemic lupus ... • Vasculitis Cardiac ... : • Post-cardiac ... Myxedema Other: • Medication
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... since the heart or pericardial ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
who had recent cardiac ... figure can indicate pericardial ... only a minimal pericardial ... #Clinical #Radiology ... #CTS #CXR #PostSurgical
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... permanent alopecia Differential ... Serositis: • Pleural/pericardial ... Cytopenias • Cardiac ... activation and/or medications
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... → no signs of CXR ... of obstructive epicardial ... Consider cardiac ... diagnosis #management #cardiology