13 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
on POCUS (PLAX ... Non-ischemic EKG ... , nl CXR. ... What's the Diagnosis ... Clinical #Ultrasound #POCUS
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... tissue disorder e.g ... • Cardiac surgery ... blood pressure: e.g ... #Dissection #diagnosis
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... dissection.- Michael ... #Clinical #EM #Radiology ... #POCUS #CardiacUS ... ParsternalLong #AorticDissection
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic ... dissection - proximal ... #Diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... dissection, PE, ... #Ischemia #ECG ... #EKG #diagnosis
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
injury (e.g., cardiac ... Pericardial perforation (e.g ... Radiation Aortic ... dissection (with ... #Diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... lack of acute cardiac ... level <100 pg/ml EKG ... ischemic changes CXR ... #diagnosis #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... #differential # ... cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology