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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... Effusions (Hemopericardium ... Primary systemic amyloidosis ... RA, and other CTD ... Differential #Diagnosis #cardiology
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
effusion. ... Continue with the CT ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Effusion #PericardialEffusion
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... ValveReplacement #Pericardial ... #Effusion #PericardialEffusion
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... BUN/Cr- 128/9.4. ... RJonesSonoEM #Complex ... #Pericardial #Effusion ... A4C #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... BUN/Cr- 128/9.4. ... RJonesSonoEM #Complex ... #Pericardial #Effusion ... PLAX #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
bilateral pleural effusions ... ). 1/5 pts w/ acute ... → no signs of CXR ... of obstructive epicardial ... diagnosis #management #cardiology