12 results
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
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
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
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Hantavirus • Malignant ... , DIC, TMA • Cardiac ... : pericarditis, ... normal CK, normal biopsy ... #management #treatment
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
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 ... SLE • Kidney biopsy
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