64 results
Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's
Malignant Pericardial ... Pericardial #Effusion #Malignant ... #Cardiac #Tamponade ... #Echocardiogram ... #POCUS #Clinical
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... Secondary to invasive cardiac ... NONIATROGENIC • Malignancy ... CAUSES • PRIMARY Cardiac ... may have false negative
Melanoma - Clinical subtypes
 - 
Superficial spreading melanoma (70%)
 - 
Nodular melanoma (15%)
 - 
Lentigo maligna
Melanoma - Clinical ... ) - Lentigo maligna ... melanoma (5%) #Diagnosis ... Subtypes #Comparison #Table
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... is required for diagnosis ... Autoimmune (SLE/APLS), Malignancy ... Frequent false-negative ... #table
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... trauma, active malignancy ... an established malignancy ... Workup #hematology #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... Abnormal ECG, echocardiogram ... shock, sudden cardiac
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... Hantavirus • Malignant ... , DIC, TMA • Cardiac ... Stills #Disease #diagnosis
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
Sympathomimetic, Sedative-Hypnotic ... sympathomimetic or sedative-hypnotic ... further down) clinical ... #Diagnosis #Toxicology ... Toxidromes #Comparison #Table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... hemodynamics and cardiac ... have achieved negative ... Cardiac cath if ... cardiology #treatment #table