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Hemopericardium - Autopsy of Cardiac Tamponade

By @CardioSurgPost

#Hemopericardium #Autopsy #gross #pathology #tamponade #pericardial #effusion #thoracic #cardiology #heart
Hemopericardium ... - Autopsy of Cardiac ... pathology #tamponade #pericardial ... #effusion #thoracic ... #cardiology #heart
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Effusions (Hemopericardium ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... #Effusion #Hemopericardium ... Differential #Diagnosis #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Also has pericardial ... effusion/pericardial ... Hypertensive without RA/RV ... similar sized effusion ... Echocardiogram #clinical #cardiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... effusion. ... Pericardial effusion ... CT-reconstruction #Clinical #Radiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Also has pericardial ... effusion/pericardial ... evidence of RA/RV ... with similar peri effusion ... Echocardiogram #clinical #cardiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... to Accommodate RV ... Cessation due to Stiff Pericardium ... structures and extra- pericardial ... pathophysiology #cardiology
Hemopericardium on Autopsy 
Autopsy result of hemorrhagic pericardial effusion and cardiac tamponade. The myocardial wall is
Hemopericardium ... effusion and cardiac ... @EM_RESUS #Hemopericardium ... #effusion #CTS ... #thoracic #cardiology
Hemopericardium on POCUS after Stab Wound

Stab wound to chest:
Blood clot ==> echos. 
Hemopericardium ==> Easily Missed
Stab wound to chest ... Missed Echogenic Effusion ... directly to OR; RV ... #hemorrhagic #effusion ... #pericardial
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion ... • Cardiac Tamponade ... * • Constriction ... Thickening/Masses Chest
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
and Cardiac Tamponade ... #Cardiac #Tamponade ... #Effusion #POCUS ... Echocardiogram #clinical #Pericardial ... #Cardiology