21 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
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... #diagnosis #management ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss ... #Palpitations #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