56 results
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
#Pericardial #Effusion ... LVCompression #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... #Echocardiogram ... #Clinical #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
on Echocardiogram ... demonstrating ECG ... #Echocardiogram ... #malignant #clinical ... #cardiology #pocus
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Cost-Effectiveness Workup ... Cost-effective tests ... cost-effective tests ... indications: • Echocardiogram ... EricsMedicalLectures/ #Syncope #diagnosis
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... Vascular imaging → Test ... • Provoked (e.g ... #hematology #diagnosis
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
mesmerizing: Malignant effusion ... alternans on the ECG ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram ... #PSAX #ElectricalAlternans
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Parasternal short axis (PSAX ... large pericardial effusion ... #POCUS #clinical ... #Echocardiogram ... #Cardiology #PSAX
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery?
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... - Diagnosis, Signs ... Clinical Presentation ... despite hx HTN) EKG ... #Symptoms #Cardiology