9 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
circumferential pericardial effusion ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... Echocardiogram #a4c ... pocus #clinical #cardiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Diagnosis • ... arteries, Venous or arterial ... ex: duplicated SVC ... Pneumomediastinum, Pericardial effusion ... #radiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential ... Diagnosis 1. ... #Diagnosis #cardiology ... echocardiogram #s4c
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
you see on this SC ... has pericardial effusion ... with similar peri effusion ... Had diagnostic tap-fever ... #A3C #SeptalBounce
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Large pericardial effusion ... infarct Ventricular Septal ... and Rvol ≥ 30 mL ... #differential # ... diagnosis #timeline
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
erythema nodosum (septal ... Vascular Disease: Arterial ... Venous disease (SVC ... Behcet disease) Differential ... #management #signs
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... before epiphyseal fusion ... Differential Diagnosis ... levels to <1ng/mL ... Pituitary MRI+contrast
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
quickly (30-90 sec ... reservoir of ~300 ml ... CO during a 15 sec ... Tolerance #testing #diagnosis ... comparison #challenges #management
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
decompression SVC ... interventional radiology ... fluids (200–300 mL ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis