18 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Unexplained sinus tachycardia ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... state) • Tachycardia ... Tamponade - Pulmonary ... #Diagnosis #Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
overwhelmed, symptomatic tachycardia ... infarction, following cardiac ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
overwhelmed, symptomatic tachycardia ... infarction, following cardiac ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
patient experiencing cardiac ... arrest with ongoing CPR ... hypotension or tachycardia ... Classification #ABCDEs #diagnosis ... #cardiology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injury • ED Management ... repair MH/CCF ... #Radiology #XRay ... #Diagnosis #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... , Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... → no signs of CXR ... Consider cardiac ... #heartfailure #diagnosis ... #management #cardiology
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... output because of cardiac ... results in decreased cardiac ... #Diagnosis #Radiology ... #CHF #CXR #Features