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

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... infarction • Aortic ... #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Cardiac #Tamponade ... #Becks #Triad #Diagnosis ... #Cardiology
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 ... Radiation Aortic ... #Differential #Diagnosis
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... pain, a normal chest ... x-ray and and ECG ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... atrial injury from pericardial ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Non-Infectious (NTBE): • Malignancy ... CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Chest x-ray: signs ... Consider cardiac ... Other: Electrocardiogram ... #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #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 ... artery #catheter #diagnosis ... #cardiology #swanganz