29 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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
a) Ischemic heart ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... medical and surgical management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... anaesthesia #Perioperative ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management ... #Workup
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
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
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Target Receptor, Heart ... Vascular Resistance, Cardiac ... 0.375-0.75 mcg/kg ... Internet Book of Critical ... Pharmacology #Effect #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... : • New cardiac ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management