68 results
Pericardial Constriction on Echocardiogram with Septal Bounce

Fantastic example of pericardial constriction. Not only a nice septal
Pericardial Constriction ... Fantastic example of pericardial ... VivekKulkarniMD #Pericardial ... Echocardiogram #clinical #cardiology ... #POCUS #a4c #bounce
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... developed hemorrhagic pericardial ... DrRajeshG1 #Pericardial ... POCUS #clinical #cardiology ... #a4c
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture with Pericardial ... larger right sided pericardial ... Rupture #Cardiac #pericardial ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... patients with pulmonary ... fever (FMF) • Radiation ... #Hemorrhagic #Pericardial ... Differential #Diagnosis #cardiology
Causes of Pericardial Effusion - Differential Diagnosis
Infectious:
 • Viral: Enterovirus, Herpesvirus, Adenovirus, Parvovirus
 • Bacterial: Mycobacterium
Causes of Pericardial ... Lymphoma, Leukemia, Pericardial ... Myxedema • Other: Radiation ... Sophia_Hayes_MD #Pericardial ... Diagnosis #Causes #cardiology
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... Answer: Ascites, pericardial ... RJonesSonoEM #Ascites #pericardial ... #effusion #s4c ... clinical #ultrasound #cardiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... duplicated SVC) • Pulmonary ... Lymphadenopathy • Pericardial ... Pneumomediastinum, Pericardial ... #radiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Cessation due to Stiff Pericardium ... during Resp → • Variation ... (pulmonary vasculature ... pulmonary capillaries ... pathophysiology #cardiology
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Valves • Pulmonary ... Regurgitation - Pericardium ... Pericarditis • Pericardial ... Tamponade Pulmonary ... #HeartFailure #Cardiology