fractures radiology ecg pocus plax pericardial cardiac tamponade aortic chest effusion diagnosis

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Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

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

#Postoperative #Pericardial #Effusion

effusion with Left ... Compression and Tamponade ... #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... Echocardiogram #Clinical #Cardiology

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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior

Tamponade - Pericardial ... Vena Cava #Cardiac ... #Tamponade #POCUS ... #Diagnosis #Evaluation ... #Cardiology #Effusion

Tamponade - Pericardial ... @SAlerhand #Cardiac ... #Tamponade #POCUS ... #Diagnosis #Evaluation ... #Cardiology #Effusion

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Pericardial Tamponade
Beck's Triad
1. Hypotension
2. Jugular venous distension
3. Muffled heart sounds
Patient will be

Pericardial Tamponade ... of dyspnea and chest ... paradoxus - ECG ... #Cardiac #Tamponade ... #Becks #Triad #Diagnosis

Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

-

Effusion with Tamponade ... unstable pt w/ chest ... #Effusion #Tamponade ... #Cardiac #POCUS ... #cardiology #clinical

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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
• Myocardium:
- Myocarditis
- CAD/ACS
- Valvulopathy
- Myopericarditis

Diagnosis Framework ... Vascular: - Aortic ... dissection - SCAD • Pericardium ... Pericarditis - Tamponade ... • Pleura: - Effusion

Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.

Effusion with Tamponade ... K 5.9 without EKG ... effusion/tamponade ... #Effusion #Cardiac ... #Tamponade #POCUS

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Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens

Aortic Dissection ... presented with chest ... of associated pericardial ... effusion/tamponade ... #clinical #cardiology

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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 ... Secondary to invasive cardiac ... • Malignancy (e.g ... infarction • Aortic ... #cardiology

Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by

cycle (in lieu of ECG ... #Tamponade #PLAX ... Echocardiogram #POCUS ... #Clinical #Pericardial ... #Effusion

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