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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
)- Differential ... Diagnosis Framework ... metastatic spread: lung ... Primary systemic amyloidosis ... #Differential #
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS ... Has new large pericardial ... effusion in addition ... #Cardiac #POCUS ... #clinical #Echocardiogram
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
effusion/pericardial ... BP high-no evidence ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... - A4C Pt sent to ... #Effusion #Cardiac ... #Tamponade #POCUS ... #clinical #cardiology
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C
CA patient with known pericardial effusion who
on POCUS Echocardiogram ... - A4C CA patient ... BP stable. ... #Cardiac #POCUS ... #clinical #Echocardiogram
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. ... expiration not meeting diagnostic ... #pocus #clinical
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... permanent alopecia Differential ... : • Pleural effusions ... Serositis: • Pleural/pericardial ... Cytopenias • Cardiac
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 ... Change in clinical ... unless prior heart/lung ... stratification #diagnosis