8 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
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Subcostal 4 Chamber (S4C ... Has new large pericardial ... #Cardiac #POCUS ... Echocardiogram #Cardiology ... #S4C
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... - Differential Diagnosis ... Primary systemic amyloidosis ... #Hemorrhagic #Pericardial ... #cardiology
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

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

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Hemorrhagic Pericardial ... #Pericardial #Effusion ... #Tamponade #Cardiac ... #POCUS #cardiology ... #clinical #s4c
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
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Infections • Malignancy ... Diffuse alveolar hemorrhage ... Serositis: • Pleural/pericardial ... Cytopenias • Cardiac
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