Registered Members as of
Contributed Journal Articles
Articles on TheFetus.net
Sonoworld is dedicated to providing free educational resources to ultrasound professionals and students. This site contains a wide range of ultrasound resources, including
by some of the most recognized sonography authorities in the world. You can also visit our
section to find in depth discussions surrounding a wide range of sonography topics. In addition, we offer free and paid
to those who need to meet CME requirements to maintain their professional certification or licensure. By signing up for a
with Sonoworld, you gain access to all of our sonography resources on the site.
Back to Listing
Alfredo Tirado-Gonzalez, MD
A 22-year-old male arrived at the Emergency Department around midnight, complaining of chest pain and shortness of breath. It was his second visit to the ED in as many weeks; just 14 days earlier, he had come in with a respiratory infection, which was treated with antibiotics. The patient’s malaise and fatigue had continued, however.
He presented the second time in severe distress. He had no nausea, vomiting or fever, but in addition to the chest pain and dyspnea, he had a rash on his extremities. Because his symptoms were worsening, with increasing dyspnea, tachycardia and a rise in blood pressure to 172/102, we decided to perform a bedside ultrasound
Figure 1. Subxiphoid view of the heart
A thin layer of fluid is seen around the heart suggesting pericardial effusion
Figure 2. Short Parasternal view of the heart
This view more clearly demonstrates the pericardial effusion, surrounding right and left ventricles.
Figure 3. Long Parasternal view of the heart
Here the pericardial effusion is seen surrounding the cardiac silhouette.
Figure 4. Apical four chamber view of the heart
This view demonstrates both anterior and posterior pericardial effusion
acute respiratiory infection, pneumonia, pulmonary embolism, pneumothorax, acute pericarditis, pericardial effusion, cardiac tamponade
pericarditis with secondary diagnoses of lupus, pneumonia and sepsis
The bedside study performed with a hand-held ("pocket") ultrasound system showed moderate pericardial effusion. A surgeon was consulted, and the patient was transferred directly to the main hospital for possible pericardial window. After his transfer, his condition rapidly deteriorated to cardiac tamponade. However, an emergency pericardial window was successfully performed. The diagnosis ultimately included pericarditis with secondary diagnoses of lupus, pneumonia and sepsis.
The bedside ultrasound study was performed with a GE Healthcare Vscan ultrasound system.
The patient was successfully treated for the diagnosed conditions and discharged to home care without further complications.
Terms of Service and Disclaimer
Copyrights © MedImageWorld L.L.C. 2001-2017 All Rights Reserved.