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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 ... Secondary to invasive cardiac ... • Malignancy (e.g ... CAUSES • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... effusion, female ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... hypertension Pericardial ... involvement: - Effusion ... ECG Abnormalities ... #Sarcoidosis #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial ... demonstrating ECG ... effusion, female ... malignant #clinical #cardiology ... #pocus #PLAX #MMode
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... pericarditis, Pericardial ... Cardiac surgery?
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... A4C #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... PLAX #clinical #cardiology
Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by
better obviate the cardiac ... cycle (in lieu of ECG ... Echocardiogram #POCUS ... #Clinical #Pericardial ... #Effusion