41 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Serial troponin; HEART ... #Chest #Pain #Diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Diagnostic Schema ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... strangulation), Heart ... /Vessels (Heart
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... failure): • Severe heart ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... #comparison #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential ... #Management #Workup
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... prosthetic valve NON-CARDIAC
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... unconscious, signs of cardiac ... risk factors for cardiac ... ❶ Call for cardiac ... anaesthesia #Cardiac
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
The infant with tachypnea or wheeze - Clinical Conditions to Consider
 - Bronchiolitis 
 - Pneumonia
tachypnea or wheeze - Clinical ... allergy/atopy - Cardiac ... respiratory distress, heart ... Other causes #Diagnosis ... Tachypnea #Wheeze #Differential
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... or structural heart ... syncope (ruling out differential ... should be guided by clinical