32 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... disease • Cardiac ... Pulse deficit/differential ... deficit • Shock Treatment ... opiates • Control heart
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... #Diagnosis #Algorithm
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
sometimes advanced treatment ... Treatments may include ... : cardiac resynchronization ... CHF #Congestive #HeartFailure ... Stages #ACCAHA #Algorithm
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... infarction • Aortic ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... Serial troponin; HEART
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
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Failure - Differential ... Diagnosis Algorithm ... Cardiac Causes ... RHF #RightSided #HeartFailure
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
(<72 hours) - Differential ... Diagnostic Algorithm ... quadrant: R/O cardiac ... Ruptured abdominal aortic ... Metabolic disease (e.g
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... loss • Myalgias Cardiac ... : • New cardiac ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
Undifferentiated critical ... congenital heart ... determines if cardiac ... interrupted arch, aortic ... #presentation #Differential