21 results
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
What do you see ... on this SC image ... Also has pericardial ... effusion/pericardial ... clinical #cardiology #s4C
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... elevation of acute pericarditis ... developed hemorrhagic pericardial ... DrRajeshG1 #Pericardial ... clinical #cardiology #a4c
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... What do you see ... on this SC image ... Also has pericardial ... effusion/pericardial
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... Subcostal window in SLE ... Answer: Ascites, pericardial ... RJonesSonoEM #Ascites #pericardial ... #effusion #s4c
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... She had gained 15 ... circumferential pericardial ... velocity of 9.5 cm/sec ... Echocardiogram #a4c
I’M DAMN SHARP - Lupus Diagnosis Mnemonic
I  	 Immunoglobulins (Anti-dsDNA, Anti-Sm, Anti-phospholipid)
M 	 Malar Rash
D
Anti-phospholipid) M Malar ... Serositis (Pericarditis ... #IMDAMNSHARP #sle
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute Pericarditis ... Trauma: Direct pericardial ... leakage into pericardial ... sac) Chylopericardium ... Familial pericarditis
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
pattern: - SLE ... pattern: - SjS, SLE ... Speckled: - SLE ... anti-Su/Ago • Golgi/polar ... : - SLE, SjS
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
swelling, Wells score Pericarditis ... underlying dz (SLE ... on sitting up, Pericardial
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 • Constitutional domain: Fever
 • Cutaneous domain: Non-scarring
domain: Pleural or pericardial ... effusion, Acute pericarditis ... Classification #Criteria #SLE