61 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... block • Heart ... shock, sudden cardiac
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade EKG ... Low voltage Treatment
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... Thrombus / Embolism: Cardiac ... /Vessels (Heart ... hypovolemia), Meds/Treatments ... #Diagnosis #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
injury: Chronic heart ... injury: - Primary cardiac ... illness: Myocarditis ... - Primary non-cardiac ... illness: Critical
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm
Cardiac:
 • Congenital Heart Disease
 •
Event (ALTE) - Differential ... Diagnosis Algorithm ... Cardiac: • Congenital ... Heart Disease ... Cardiomyopathy • Myocarditis
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
contrast This is a cardiac ... , we ECG-gated with ... an ECG simulator ... #CardiacCT #CCTA ... #CTS #clinical
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Hypoglycemia - Differential ... Diagnosis Algorithm ... Other Causes: • Critical ... Renal Failure, Cardiac ... #Diagnosis #Algorithm
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
LV Failure (MI, myocarditis ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... Losses (bums, heat