9 results
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... • Malignancy (e.g ... metastatic spread: lung ... patients with pulmonary ... Differential #Diagnosis #cardiology
Lipohemarthrosis on POCUS
Pain in L knee after injury. Long axis in suprapatellar recess. What's the diagnosis?
Answer:
Lipohemarthrosis on POCUS ... Long axis in suprapatellar ... liquid layer in the effusion ... Lipohemarthrosis #POCUS ... clinical #ultrasound #msk
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... edema - Large effusion ... Nephrotoxins (e.g ... channel blocker (eg
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Pressures and Calculations ... RV dysfunction. e.g ... forward flow. e.g ... Ahmed Ghoneem, MD MSc ... RHC #PACatheter #calculations
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... Exam showed BP 100 ... edema, and clear lungs ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... stairs, brisk 4 mph ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... of diagnosis (e.g ... Pulmonary: dyspnea ... acute sarcoidosis Pulmonary ... anterior/posterior MSK
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
obstructing the airway, e.g ... oxygen and face mask ... over-vigorous attempts at lung ... negative-pressure pulmonary