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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 ... )- Differential ... metastatic spread: lung ... patients with pulmonary ... #Hemorrhagic #Pericardial
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
on POCUS Echocardiogram ... - A4C CA patient ... BP stable. ... Pt was denying CP ... #Cardiac #POCUS
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... effusion/pericardial ... BP high-no evidence ... Had diagnostic tap-fever ... #Pericarditis #CP
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: pulmonary hemorrhage ... (UPC) ratio • Cardiac ... EGPA (↓ LVEF, pericardial ... effusion) • PFTs ... sparing of the lung
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... , Flash Pulmonary ... Pneumothorax, Alveolar Hemorrhage ... Exam, POCUS (B-lines ... Edema: Lasix + BP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tachycardia > 100 BPM ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery?
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph ... murmur 3/6) - Pulmonary ... exam Determine Cardiac ... unless prior heart/lung ... stratification #diagnosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... : • Pleural effusions ... Diffuse alveolar hemorrhage ... Serositis: • Pleural/pericardial ... Cytopenias • Cardiac