43 results
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Cardiac Causes ... Regurgitation - Pericardium ... • Constrictive ... #HeartFailure #Cardiology
Pericardial Constriction on Echocardiogram with Septal Bounce

Fantastic example of pericardial constriction. Not only a nice septal
Pericardial Constriction ... constriction. ... #Constriction # ... Echocardiogram #clinical #cardiology ... #POCUS #a4c #bounce
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... Cessation due to Stiff Pericardium ... (pulmonary vasculature ... pulmonary capillaries ... pathophysiology #cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Pericardial ... • Effusion • Cardiac ... Tamponade* • Constriction ... Differential #Diagnosis #Algorithm
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... decompensated Pulmonary ... Shunt Tamponade/Constrictive ... #Hemodynamics #Cardiology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac ... pneumothorax • Constrictive
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Differential Diagnosis Algorithm ... Cardiac: • Dysrhythmia ... Tamponade • Constrictive ... Pneumonia • Pulmonary ... Differential #Diagnosis #Algorithm