10 results
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Subcostal 4 Chamber (S4C ... large pericardial effusion ... #Cardiac #POCUS ... Echocardiogram #Cardiology ... #S4C
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... #Management #Cardiology
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
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
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
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... benefits of POCUS in diagnosing ... for definitive management ... ultrasound #trauma #cardiology ... #s4c
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 ... Disease: Pericarditis ... ) Differential Diagnosis ... #management #signs
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Differential Diagnosis ... Lungs: • Pleural effusions ... • Asymptomatic pericarditis ... Cytopenias • Cardiac ... SLE • Kidney biopsy
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