Urease ctchest sign echocardiogram pocus pericardial trauma constrictive cardiac - GrepMed

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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

on Echocardiogram ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... circumferential pericardial ... #a4c #pocus #clinical

Constrictive Pericarditis on Echocardiogram

Septal Shudder, tubular LV (bullet shaped), D Cruz sign(abnormal angle between post wall

on Echocardiogram ... shaped), D Cruz sign ... halt, increased pericardial ... #Pericarditis #Echocardiogram ... #POCUS #clinical

Causes of Acute Pericarditis:

Infectious;

Viral:
Adenovirus
Coxsackie virus A and B
Echovirus
Epstein-Barr virus
Hepatitis
Human immunodeficiency

Metastatic tumors: Breast ... injury Cardiac ... injury (e.g., cardiac ... trauma) Indirect ... Blunt chest trauma

Hemorrhagic Pericardial Effusion with Tamponade on POCUS

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

-

Hemorrhagic Pericardial ... with Tamponade on POCUS ... unstable pt w/ chest ... trauma, subxiphoid ... Effusion #Tamponade #Cardiac

Hemopericardium in Cardiac Arrest on POCUS Echocardiogram
GSW to left chest. Prehospital arrest. Note has hemopericardium-isoechoic to

Hemopericardium in Cardiac ... Arrest on POCUS ... Echocardiogram ... GSW to left chest ... #clinical #trauma

Hemopericardium in Cardiac Arrest on POCUS Echocardiogram after GSW
GSW right lateral chest. Witnessed arrest by EMS.

Hemopericardium in Cardiac ... Arrest on POCUS ... Echocardiogram ... right lateral chest ... #clinical #trauma

Hemopericardium on POCUS after Stab Wound

Stab wound to chest:
Blood clot ==> echos.
Hemopericardium ==> Easily Missed

Hemopericardium on POCUS ... Stab wound to chest ... #echocardiogram ... #trauma #stab # ... hemorrhagic #effusion #pericardial

Heart Point Sign
Patient presenting after stab wound to left anterior chest.
A-lines where you should be seeing

Heart Point Sign ... left anterior chest ... #HeartPoint #Sign ... #trauma #clinical ... #pocus #echocardiogram

Hemopericardium on POCUS Echocardiogram after Stab Wound
Young adult stab to left chest. BP 116/64, HR 108.

Hemopericardium on POCUS ... Echocardiogram ... adult stab to left chest ... large amount of pericardial ... clinical #ultrasound #trauma

Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
• Apply direct pressure/compression bandage

Pediatric Trauma ... Binder) • Use POCUS ... PTX/HTX and/or pericardial ... ↓ BP is a late sign ... #Pediatrics #Trauma

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