14 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... #Management #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was enough to diagnose ... and Kussmaul’s sign ... Echocardiogram #POCUS #clinical ... #cardiology #a4c
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
Echocardiogram (A4C ... ) A4c view; RV ... Diagnosis concerning ... Echocardiogram #A4C ... #cardiology
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical ... #cardiology #echocardiogram ... #a4c #plax #pocus ... #airgap #sign
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... you see on this SC ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension Signs ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C ... #Cardiac #Tamponade
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... un lymphatic Diagnostic ... Consider cardiac ... endomyocardial biopsy ... #management #cardiology