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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 ... metastatic spread: lung ... infarction • Aortic ... dissection - proximal ... #Hemorrhagic #Pericardial
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
the Parasternal Long ... Dissection - Aortic ... Effusion - Dilated ... @emspocus #Diagnosis ... #POCUS #Echocardiogram
Aortic Dissection Flap on Abdominal POCUS

Older patient found-aphasia, left sided weakness. Last known well 90min ago.
Aortic Dissection ... POCUS done. ... Echogenic pericardial ... effusion seen. ... #Flap #Long #Sagittal
Aortic Dissection on POCUS Echocardiogram (PLAX)

Parasternal long axis of the heart showing a dilated AOFT >4cm
Aortic Dissection ... Parasternal long ... and a pericardial ... effusion. ... #Dissection #POCUS
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... - A4C Pt sent to ... effusion along ... #Effusion #Cardiac ... #Tamponade #POCUS
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Breast Leukemia Lung ... injury Cardiac ... Radiation Aortic ... dissection (with ... #Differential #Diagnosis
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
edema, and clear lungs ... circumferential pericardial ... effusion. ... Echocardiogram #a4c ... #pocus #clinical
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity • Cardiac ... (UPC) ratio • Cardiac ... EGPA (↓ LVEF, pericardial ... effusion) • PFTs ... sparing of the lung
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph ... exam Determine Cardiac ... risk (>5%): - Aortic ... unless prior heart/lung ... stratification #diagnosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
: • Pleural effusions ... Diffuse alveolar hemorrhage ... • Shrinking lung ... Serositis: • Pleural/pericardial ... and leukemia • Lung