18 results
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
effusion with Left ... #Effusion #LVCompression ... #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... Clinical #Cardiology #CTS
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
caused by a massive pericardial ... effusion, cardiac ... Tamponade: pericardial ... effusion, small ... external fluid loss leading
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
who had recent cardiac ... bleeding. ... Ultrasound demonstrated ... effusion. ... Clinical #Radiology #CTS
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
)- Differential ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... RA, and other CTD ... #Differential #
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing ... Its actually an ... #Effusion #Cardiac ... Tamponade #clinical #ultrasound
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Cardiac Tamponade ... Its actually an ... #Effusion #Cardiac ... Tamponade #clinical #ultrasound
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... dilated IVC - Cardiac ... pericarditis, Pericardial ... Cardiac surgery?
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... pneumothorax, cardiac ... gastrointestinal bleeding ... #criticalcare #differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... flow in all major epicardial ... vessels other than CTO
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... motion (PVFM) Cardiac ... ischemia • Pericardial ... effusion/Tamponade ... • Hypovolemic shock