14 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside
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 ... of cardio-pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... unexplained loss of cardiac ... over 2 h (>65 kg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
positive in 90% of IE cases ... : • New cardiac ... Cause Injury By ... ↑ ESR, CRP • EKG ... #management #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... positive in 90% of IE cases ... : • New cardiac ... ↑ ESR, CRP • EKG ... Treat underlying cause
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
evaluating potential causes ... POTENTIAL CAUSES ... Anaphylaxis (→ 3-1) Embolism ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Huge cardiac ... masses...initially ... diagnosed in utero ... #clinical #cardiology ... #pocus #plax
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... • Pulmonary embolism ... #cardiology
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
Consider potential causes ... POTENTIAL CAUSES ... Consider potential causes ... o Circulatory embolism ... Intraoperative #Checklist #Diagnosis