13 results
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... has pericardial effusion ... Had echo done one ... with similar peri effusion ... Had diagnostic tap-fever
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Diagnosis Framework ... Heart failure - CAD ... Pericardium: - Constrictive ... • Pleura: - Effusion ... #differential #diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Pericarditis ... evaluate her JVP (video ... the underlying diagnosis ... #PhysicalExam #Video ... #Clinical #Neck
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Causes of Dyspnea ... - Differential Diagnosis ... Tamponade • Constrictive ... pericarditis ... Pleura: • Pleural effusion
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... She had gained 15 ... circumferential pericardial effusion ... expiration not meeting diagnostic ... pericarditis
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... presents with dyspnea ... Most likely diagnosis ... + XRT tattoo = constrictive ... pericarditis 2/
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Chronic Causes of Dyspnea ... - Differential Diagnosis ... Anemia, Arrhythmia, Pericarditis ... , CAD, HFrEF/HFpEF ... Valvular disease Head/Neck
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... - Distended neck ... - Cardiac >> Constrictive ... pericarditis, Pericardial
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV fusion ... presents with dyspnea ... the underlying diagnosis ... Giant #PHTN #JVP #Neck ... PhysicalExam #Clinical #Video
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... symptomatic tachycardia, dyspnea ... cardiac tamponade, constrictive ... pericarditis, restrictive ... Classification #Types #diagnosis