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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
)- Differential ... metastatic spread: lung ... infarction • Aortic ... patients with pulmonary ... may have false negative
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
PRE-SHOCK - Compensated ... diminished tissue perfusion ... pneumothorax, cardiac ... Cold and Dry): • Hemorrhagic ... #criticalcare #differential
Endocarditis Summary

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

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... 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
- Overview and Differential ... , verrucous) - Lung ... Ovarian CA, involves aortic ... Cerebral > Splenic, Pulmonary ... aneurysm • Splinter hemorrhages
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... : • Pleural effusions ... Diffuse alveolar hemorrhage ... 5% of patients Cardiac ... Cytopenias • Cardiac