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cardiology clinical echocardiogram effusion a4c differential alternans electrical artery autoimmune calculations catheter catheterization causes complex constrictive equations erythematosus heart hemopericardium
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
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 Causes of Acute Pericarditis: Infectious; Viral: Adenovirus Coxsackie virus A and B Echovirus Epstein-Barr virus Hepatitis Human immunodeficiency
injury Cardiac ... injury (e.g., cardiac ... perforation (e.g ... sac) Chylopericardium ... #Differential #Diagnosis
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 Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
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 Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... shock, sudden cardiac
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 ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... #cardiology
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... circumferential pericardial ... expiration not meeting diagnostic ... #pocus #clinical ... #cardiology
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 SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
(e.g. hematologic ... Endocrine disorders (e.g ... Serositis: • Pleural/pericardial ... • Asymptomatic pericarditis ... #Rheumatology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... #clinical #cardiology
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 Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... forward flow. e.g ... artery #catheter #diagnosis
Autoimmune Myositis - Differential Diagnosis Framework Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Aldolase levels • EMG ... lung disease Malignancy ... Symptoms: • Pericarditis ... /Pericardial tamponade ... weakness • Severe cardiac
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