24 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... • Cardiogenic shock ... , sudden cardiac ... death Management
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... presentation: Pseudo-acute ... coronary syndrome, Cardiac ... #differential #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... #Differential # ... algorithm #treatment #management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
LV Failure (MI, myocarditis ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... #diagnosis #differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... Bradycardia Cardiac ... infarction • Myocarditis ... Chagas disease • Acute
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... insufficiency, acute ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... Severe Valve Dz, Myocarditis ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... Severe Valve Dz, Myocarditis ... Classification #diagnosis #management ... #criticalcare #differential