19 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Distributive: Sepsis ... • Obstructive: Pulmonary ... #Differential # ... algorithm #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... treatment for acute MI ... #HeartFailure #Cardiology ... #Management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Cardiac Tamponade, Pulmonary ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... - MI, arrhythmia ... #Diagnosis #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... level <100 pg/ml EKG ... Gram negative sepsis ... #edema #NCPE #differential ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... depression in VI-V2 - posterior ... electrocardiogram #cardiology ... Interpretation #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... O2 delivery • MI ... Classification #diagnosis #management ... #criticalcare #differential