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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... metastatic spread: lung ... patients with pulmonary ... #Diagnosis #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... much as 40% in cardiac ... Ahmed Ghoneem, MD MSc ... #artery #catheter
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... Transfusion-related acute lung
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 ... recent DAN) • EMG ... sparing of the lung
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... verrucous) • Lung ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Dialysis stopped after ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Dialysis stopped after ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS
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 ... postoperative cardiac
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... substance use • IV catheter ... , verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG