11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... life-threatening causes ... • Pulmonary embolism ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... Leads (VI-V3) +/- Inferior ... #Embolism #AcutePE ... #diagnosis #cardiology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... evaluation or workup ... 1,500 cells/µL Workup ... glucocorticoid treatment ... signs or symptoms (eg
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... POCUS Pulmonary embolism ... inversions V1-V4 plus inferior ... seen in 34% of cases ... #clinical #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #management #cardiology ... #algorithm
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
cause injury by ... ↑ ESR, CRP • EKG ... hematuria, + RF Treatment ... Treat underlying cause ... Differential #Diagnosis #cardiology
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Diagnosis #Management #Workup ... #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... complex Pulmonary Embolism ... voltage Other Causes ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... ); circulatory embolus ... Diagnosis #Management #Workup
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... • Pulmonary embolus ... diagnosis #management #cardiology ... #treatment