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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... metastatic spread: lung ... infarction • Aortic ... patients with pulmonary ... may have false negative
Aortic Dissection on POCUS Echocardiogram (PLAX)

Parasternal long axis of the heart showing a dilated AOFT >4cm
on POCUS Echocardiogram ... (PLAX) Parasternal ... long axis of the ... a pericardial effusion ... clinical #cardiology #labeled
Rupturing AAA on Point of Care Ultrasound (POCUS)

"Elderly patient presents with AMS and Hypotension RUSH exam
Care Ultrasound (POCUS ... exam performed: Cardiac ... IVC collapsible, Lungs ... , initial FAST negative ... #Color #POCUS #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: pulmonary hemorrhage ... nose deformity • Cardiac ... (UPC) ratio • Cardiac ... LVEF, pericardial effusion ... sparing of the lung
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... CA • Involves aortic ... • Coagulase-negative ... Cerebral > Splenic, pulmonary ... aneurysm • Splinter hemorrhages
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... risk (>5%): - Aortic ... - Cataract Plan ... unless prior heart/lung ... and undergoing AAA
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Ovarian CA, involves aortic ... aureus, Coagulase-negative ... Cerebral > Splenic, Pulmonary ... aneurysm • Splinter hemorrhages