34 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... : lung cancer, breast ... tuberculous pericardial effusions ... #Pericardial #Effusion ... Differential #Diagnosis #cardiology
Malignant Pericardial Effusion on POCUS

Stable vitals, mild shortness of breath, h/o metastatic breast CA, with obvious
Malignant Pericardial Effusion ... Stable vitals, mild ... shortness of breath ... h/o metastatic breast ... , with obvious effusion
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
of Pericardial Effusion ... : Lung Cancer, Breast ... #Pericardial #Effusion ... Diagnosis #Causes #cardiology
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... low attenuation areas ... #Clinical #Radiology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Fascicle (Other CN Ill ... • Tumor (Lung, Breast ... Algorithm #Causes #Ophthalmology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... Presentation: • Mild ... : conjunctival suffusion
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Massive pericardial effusion ... female metastatic breast ... #Pericardial #Effusion ... malignant #clinical #cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Massive pericardial effusion ... female metastatic breast ... #Pericardial #Effusion ... malignant #clinical #cardiology
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... sudden-onset shortness of breath ... neck (shown in video ... travels from these areas ... in subcutaneous areas
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
Exam A 73-year-old ... with shortness of breath ... PhysicalExam #Clinical #Video ... AorticRegurgitation #Cardiology