21 results
Tuberculous pericarditis with an effusive-constrictive physiology

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Tuberculous #pericarditis #constrictive #a4c #Echocardiogram #clinical #cardiology
with an effusive-constrictive ... #constrictive # ... a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... on POCUS Echocardiogram ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... on POCUS Echocardiogram ... Constrictive pericarditis-dx ... #clinical #cardiology ... #s4C #SeptalBounce
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Obstructive: • Cardiac ... pneumothorax • Constrictive ... pericarditis ... #Algorithm #shock
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Apical approach had best ... in vitals and shock ... Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... • Constrictive ... Pericarditis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Pneumothorax, Cardiac ... , Severe pHTN, Constrictive ... pericarditis, Severe ... #criticalcare #algorithm
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... Tamponade • Constrictive ... pericarditis ... Pleura: • Pleural effusion
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... >> Constrictive ... pericarditis, Pericardial ... Cardiac surgery?