10 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... #diagnosis #management
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

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

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Hemorrhagic Pericardial ... Effusion with Tamponade ... #Cardiac #POCUS ... #cardiology #clinical ... #s4c #trauma
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
elevation of acute pericarditis ... Patient developed hemorrhagic ... large clot and tamponade ... POCUS #clinical #cardiology ... #a4c
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... death Management ... #Cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Effusion causing Cardiac ... (S4c) Hypotensive ... tamponade! ... #ultrasound #s4c ... echocardiogram #POCUS #cardiology
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... tamponade. ... for definitive management ... ultrasound #trauma #cardiology ... #s4c
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... you see on this SC ... can be seen in tamponade ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
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 ... , myocarditis, coronary ... Syndrome #diagnosis #management
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Diffuse alveolar hemorrhage ... 5% of patients Cardiac ... • Asymptomatic pericarditis ... • Myocarditis ... Cytopenias • Cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... About 950 ml removed ... Pericardial #Effusion #Cardiac ... Echocardiogram #A4C ... #clinical #cardiology