23 results
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
- Acute Pericarditis ... surgery with small pericardial ... effusion seen on an echocardiogram ... depression in I, II and aVL ... Knuckle #Sign #Pericarditis
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
on Echocardiogram ... elevation of acute pericarditis ... clot #thrombus #Echocardiogram ... POCUS #clinical #cardiology ... #a4c
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... #clinical #cardiology ... #s4C #SeptalBounce
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... had gained 15 kg ... circumferential pericardial ... #Echocardiogram ... #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... you see on this SC ... Also has pericardial ... effusion/pericardial ... #clinical #cardiology
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute Pericarditis ... Cardiac injury (e.g ... perforation (e.g ... sac) Chylopericardium ... #Differential #
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Pericarditis: PR ... atrial injury from pericardial ... vs pericarditis ... #differential # ... cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... (S4C) demonstrating ... ECG alternans motion ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Myocarditis - CAD/ACS ... dissection - SCAD • Pericardium ... : - Pericarditis ... Diagnosis #Causes #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... , echocardiogram ... Diagnosis #Management #Cardiology