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cardiology echocardiogram clinical differential a4c causes chest chestpain constrictive hemopericardium hemorrhagic labeled longaxis mediastinal pain parasternal pericarditis psax sonopathology widening
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound - Right Ventricular
Dissection - Aortic ... Hypertrophy - Pericardial ... Effusion - Dilated ... @emspocus #Diagnosis ... #POCUS #Echocardiogram
Mediastinal Widening - Differential Diagnosis • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... ex: duplicated SVC ... effusion • CXR ... #pulmonary #radiology
Aortic Dissection on POCUS Echocardiogram (PLAX) Parasternal long axis of the heart showing a dilated AOFT >4cm
Aortic Dissection ... long axis of the ... and a pericardial ... effusion. ... #Dissection #POCUS
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 Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
metastatic spread: lung ... infarction • Aortic ... dissection - proximal ... patients with pulmonary ... #cardiology
Aortic Dissection on POCUS Echocardiogram - PSAX view Patient presented with chest pain. TEE sens (97-99%), TTE sens
Aortic Dissection ... of associated pericardial ... effusion/tamponade ... #Dissection #POCUS ... #clinical #cardiology
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 Chest Pain - Differential Diagnosis Framework Cardiovascular Causes of Chest Pain: • Myocardium: - Myocarditis - CAD/ACS - Valvulopathy - Myopericarditis
Vascular: - Aortic ... dissection - ... SCAD • Pericardium ... - Tamponade Pulmonary ... • Pleura: - Effusion
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
edema, and clear lungs ... circumferential pericardial ... effusion. ... expiration not meeting diagnostic ... #pocus #clinical
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