13 results
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
Differential Diagnosis of Pericardial ... Effusion Trauma ... twitter.com/thame #Pericardial ... #Effusion #Differential ... #Diagnosis #Management
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
acute hemorrhagic pericardial ... effusion? ... pursue surgical management ... acuteMI #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... pericarditis, Pericardial ... Shock #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... Plan definitive management ... ultrasound to identify pericardial ... toward the largest pericardial ... Checklist #Diagnosis #Management
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... best choice for management ... BrianKohen #Pericardial ... #Effusion #CPR
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA (↓ LVEF, pericardial ... effusion) • PFTs ... differential #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
bilateral pleural effusions ... of obstructive epicardial ... heartfailure #diagnosis #management
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Diagnosis and Management ... Acute myocarditis, pericardial ... effusion, meningoencephalitis ... trypanosomiasis #Diagnosis #Management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
PTX/HTX and/or pericardial ... 15 mg/kg/hr IV infusion ... • Vaspressor infusion ... Survey #CABCDE #management
Pericardiocentesis
Most Common Approach: Subxiphoid
Equipment: could be as simple as large bore LP needle with syringe OR
underneath rib and into pericardium ... drainage of large effusions ... #instructions #management