21 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
hepatic vein with expiration ... not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... could pinpoint the cause ... Had diagnostic tap-fever ... Pericarditis #CP #POCUS ... #A3C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... could pinpoint the cause ... Pericarditis #CP #POCUS ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign in Constrictive ... the underlying diagnosis ... rise in JVP with inspiration ... Causes = RV failure ... Pericarditis #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... No constriction! ... volume during inspiration ... and other rarer causes ... clinical #video #jvp #cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... - Differential Diagnosis ... Algorithm Pericardial ... Tamponade* • Constriction ... #Algorithm #Causes
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
- Differential Diagnosis ... Algorithm Valvular ... • Pericardial Constriction ... #HeartFailure #Cardiology ... #Algorithm #causes
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... Hypovolemic shock • Constrictive ... #Differential #Diagnosis ... #Algorithm #causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Tamponade • Constrictive ... #Differential #Diagnosis ... #Algorithm #causes
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... associated with constrictive ... #physicalexam #diagnosis ... #cardiology #differential ... #causes