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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

Hemorrhagic Pericardial effusion ... #Pericardial #Effusion ... LVCompression #Tamponade #Cardiac ... #PLAX #POCUS #Ultrasound ... Echocardiogram #Clinical #Cardiology

Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
- Right Ventricular

Parasternal Long Axis (PLAX ... Point of Care Ultrasound ... - Pericardial Effusion ... #POCUS #Echocardiogram ... Parasternal #LongAxis #PLAX

D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI

D-Sign on Ultrasound ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus

Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.

(PLAX view) ... Non-ischemic EKG ... What's the Diagnosis ... Echocardiogram #PLAX ... #Clinical #Ultrasound

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

POCUS Pearls for ... @SAlerhand #Cardiac ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... Echocardiogram #Ultrasound

Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic

Massive Pericardial Effusion ... Echocardiogram (PLAX ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #PLAX #MMode

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

Echocardiogram - PLAX ... K 5.9 without EKG ... #Cardiac #Tamponade ... #PLAX #clinical ... #cardiology

Lateral Wall Motion Abnormality on POCUS Echocardiogram (PSAX)

Parasternal Short Axis View shows lateral wall motion abnormality

Abnormality on POCUS ... Echocardiogram (PSAX ... small pericardial effusion ... Echocardiogram #ultrasound ... #PSAX #PSSA #cardiology

Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid

Cardiac Tamponade ... of blood, pus, effusion ... • Diagnostic ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan

LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening

due to SAM on POCUS ... Diagnosis? ... LVOTO #SAM #HOCM #POCUS ... Echocardiogram #ultrasound ... #Cardiology #PLAX

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