41 results
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

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

#Postoperative #Pericardial #Effusion
Hemorrhagic Pericardial effusion ... #Pericardial #Effusion ... LVCompression #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... Clinical #Cardiology #CTS
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... @SAlerhand #Cardiac ... Evaluation #Cardiology #Effusion ... Echocardiogram #Ultrasound
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... Echocardiogram #ultrasound
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoventilation: CNS ... Right-to-Left Shunt: Cardiac ... (↑Shunting), ↓Perfusion ... Dead space) • ↓Diffusion
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... RA, and other CTD ... #Pericardial #Effusion
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
Not all joint effusions ... associated with fractures ... An effusion often ... supracondylar fracture ... the region of its
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
Findings on Lung ultrasound ... consolidation - Pleural effusion ... lines is the main feature ... syndrome is the main feature ... COVID19 #Lung #ultrasound
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Injuries by System: CNS ... high voltage Cardiac ... arrival MSK - Fractures
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Vasopressin agonist • Acts ... Dose: 2-12mg/24h (infusion ... vasoconstriction), ß1 (↑ cardiac ... Dose: 0.5-3mg/h (infusion ... • Maintains cardiac
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... EKG • Bedside ultrasound ... score for PE • CTA