10 results
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
you see on this SC ... Note the septal ... has pericardial effusion ... Septal bounce and ... #s4C #SeptalBounce
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
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... cancer ... 1800 ml ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
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
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Echocardiogram (S4c ... Prats @PratsEM #Malignant ... clinical #ultrasound #s4c ... echocardiogram #POCUS #cardiology
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Subcostal 4 Chamber (S4C ... thickening and biatrial ... large pericardial effusion ... Echocardiogram #Cardiology ... #S4C
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 ... thrombosis, VTE) • Cardiac ... Disease: Pericarditis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Infections • Malignancy ... Lungs: • Pleural effusions ... • Asymptomatic pericarditis ... Cytopenias • Cardiac
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
quickly (30-90 sec ... reservoir of ~300 ml ... response to the rapid infusion ... CO during a 15 sec ... Tolerance #testing #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
decompression SVC ... interventional radiology ... Hypercalcemia of malignancy ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis