35 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... thrombolysed with SK ... large clot and tamponade ... #POCUS #clinical ... #cardiology #a4c
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... with alternate beats ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Abnormalities #Disorders #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Contractility: • MI ... • Mitral/Aortic ... Tamponade ... Syndrome #Syncope #Cardiology
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked ... sided collapse) #Clinical ... #POCUS #Cardiology ... #Echocardiogram ... #A4C #Cardiac #
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Tamponade on Echocardiogram ... tamponade! ... #Tamponade #clinical ... #echocardiogram ... #POCUS #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Treat myocarditis ... Pericarditis, Tamponade ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

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