32 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia - Differential ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... /Vessels (Heart ... #Diagnosis #algorithm
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Watch how the heart ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
- CBC with differential ... diagnostics as clinically ... echocardiogram, ... EKG) Dr. ... iBookCC #COVID19 #algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... to workup right-heart ... circumferential pericardial effusion ... #a4c #pocus #clinical
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... example of swinging heart ... EKG from same patient ... alternans #POCUS #Echocardiogram ... #A4C #Clinical
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Treatment guided by clinical ... scenario, ECG and ... indicated Protect the Heart ... Insulin–Glucose IV Infusion ... Hyperkalemia #management #algorithm
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
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential