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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 ... Diagnosis Framework ... metastatic spread: lung ... #Hemorrhagic #Pericardial
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
Lymphangitic spread to lung ... effusion - Lung ... anthracycline) - Hemorrhagic ... dyspnea #algorithm #differential ... #diagnosis #oncology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Tachycardia > 100 BPM ... Consider IL NS/LR infusion ... pericarditis, Pericardial ... Cardiac surgery?
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... Pneumothorax, Alveolar Hemorrhage ... Exam, POCUS (B-lines ... , lung sliding) ... Edema: Lasix + BP
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
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Life-threatening hemorrhage ... Binder) • Use POCUS ... PTX/HTX and/or pericardial ... pneumothorax C - Hemorrhagic ... Primary #Survey #CABCDE
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 ... Echocardiogram #a4c #pocus
Cardiac Masses - Differential Diagnosis Framework
 • Myxoma
 • Papillary Fibroelastoma
 • Rhabdomyoma
 • Fibroma
 •
Differential Diagnosis ... Lipoma • Pericardial ... Crista Terminalis- fusion ... - Eustachian calce ... #Masses #Differential
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