24 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... #Hemorrhagic #Pericardial ... Differential #Diagnosis #cardiology
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
Postoperative Hemorrhagic ... Pericardial effusion ... #Tamponade #Cardiac ... Echocardiogram #Clinical #Cardiology ... #CTS #hemorrhagic
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Hemorrhagic Pericardial ... unstable pt w/ chest ... #Pericardial #Effusion ... #Tamponade #Cardiac ... #POCUS #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 - 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
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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion ... • Cardiac Tamponade ... * • Constriction ... Thickening/Masses Chest
Constrictive Pericarditis on Cardiac MRI

MRI shows ventricular interdependence and re-demonstrates the thickened pericardium. 

Dr. Omid Kiamanesh
Constrictive Pericarditis ... on Cardiac MRI ... the thickened pericardium ... OKiamanesh #Constrictive ... #radiology #chest
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... diastolic collapse of RV ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology