38 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... Serial troponin; HEART ... score for PE • CTA
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... death Management
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
contrast This is a cardiac ... CT with no contrast ... an ECG simulator ... CardiacCT #CCTA #CTS ... #clinical #radiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... fistula causing heart ... telemetry for heart ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goals—restore and maintain heart ... except congenital heart ... lesions), and cardiac ... Shock #Algorithm #CriticalCare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... patient's diagnosis (e.g ... pneumonia vs. heart ... #Management #CriticalCare
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• If heart rate ... • If heart rate ... #Hypotension #Differential ... Checklist #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
has pre-existing heart ... /management of shock ... • For most ICU pts ... will also get an EKG ... #criticalcare
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Echinocandins (e.g ... involvement • Cardiac ... or TEE unless clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ) • Valvular heart ... • Congenital heart ... • Hypertensive heart ... • Minority of Pts