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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

Postoperative Hemorrhagic Pericardial ... Postoperative #Pericardial ... 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 ... @emspocus #Diagnosis ... #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

Tamponade - Pericardial ... @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 ... Echocardiogram (PLAX ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #PLAX #MMode

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

Cardiac Tamponade ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... to identify pericardial ... toward the largest pericardial

Lateral Wall Motion Abnormality on POCUS Echocardiogram (PSAX)

Parasternal Short Axis View shows lateral wall motion abnormality

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

Anterior Regional Wall Motion Abnormality on POCUS Echocardiogram - PSAX
PSLA window from echocardiogram done on admission

Abnormality on POCUS ... Echocardiogram - PSAX ... No pericardial effusion ... Echocardiogram #ultrasound ... #Cardiology #PSAX

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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