MVA

A 45-year-old male patient was involved in a motor vehicle accident at high speeds. The following subcostal view of the heart was obtained while performing an eFAST exam. What is the diagnosis? A. Free fluid in the peritoneal cavity B. Pleural effusion C. Pericardial effusion with tamponade Answer: The subcostal view of the heart is obtained through the liver. We see evidence of pericardial effusion. The RV free wall is collapsed with RV cavity almost obliterated. RV free wall collapse during diastole is indicative of tamponade physiology. This is a life-threatening situation and would require urgent pericardiocentesis. Always correlate clinically. See labeled image below.   Reference doi: 10.4103/0974-2700.93118   Test your cardiac POCUS knowledge further with this knowledge check!

A 45-year-old male patient was involved in a motor vehicle accident at high speeds. The following subcostal view of the heart was obtained while performing an eFAST exam.

What is the diagnosis?

A. Free fluid in the peritoneal cavity
B. Pleural effusion
C. Pericardial effusion with tamponade


Answer:

The subcostal view of the heart is obtained through the liver. We see evidence of pericardial effusion. The RV free wall is collapsed with RV cavity almost obliterated. RV free wall collapse during diastole is indicative of tamponade physiology. This is a life-threatening situation and would require urgent pericardiocentesis. Always correlate clinically. See labeled image below.

 

Reference

doi: 10.4103/0974-2700.93118

 

Test your cardiac POCUS knowledge further with this knowledge check!

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