10 results
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
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
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Hemorrhagic Pericardial ... Effusion #Tamponade #Cardiac ... #POCUS #cardiology ... #clinical #s4c ... #trauma
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Pericardial window ... Diagnosis? ... Echocardiogram #S4C ... #clinical #cardiology ... #Effusion #Trauma
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
injury Cardiac ... injury (e.g., cardiac ... sac) Chylopericardium ... #Pericarditis #Differential ... #Diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... Echocardiogram #a4c
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... Hypotension in trauma ... benefits of POCUS in diagnosing ... clinical #ultrasound #trauma ... #cardiology #s4c
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Infections • Malignancy ... Serositis: • Pleural/pericardial ... 5% of patients Cardiac ... Cytopenias • Cardiac
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Venous disease (SVC ... thrombosis, VTE) • Cardiac ... Behcet disease) Differential ... Diagnosis: • Genital ... #management #signs
Summary of Oncologic Emergencies

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