31 results
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
Differential Diagnosis ... of Pericardial ... Effusion Trauma Pericarditis ... twitter.com/thame #Pericardial ... #Effusion #Differential
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... on Echocardiogram ... elevation of acute pericarditis ... DrRajeshG1 #Pericardial ... clot #thrombus #Echocardiogram
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... #CP #POCUS #Echocardiogram
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... #CP #POCUS #Echocardiogram
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
on ECG - Acute Pericarditis ... surgery with small pericardial ... effusion seen on an echocardiogram ... Knuckle #Sign #Pericarditis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... on Echocardiogram ... transthoracic echocardiogram ... circumferential pericardial ... #Echocardiogram
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute Pericarditis ... Trauma: Direct pericardial ... catheterization) Pericardial ... leakage into pericardial ... #Differential #
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Alternans on POCUS Echocardiogram ... POCUS ECHO performed ... Alternans #POCUS #Echocardiogram ... clinical #effusion #pericardial
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Features That Differentiate ... Acute Pericarditis ... on the parietal pericardium ... or pericarditis ... it difficult to differentiate
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
standard, rarely performed ... • Chest pain, pericarditis ... Abnormal ECG, echocardiogram