32 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... immediate, prior to ED arrival ... compartment syndrome ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
injury 4. ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... Clinical Presentation ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... characterized by an abnormal ... pathway between the atria ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
type of current (AC ... coagulation, compartment syndrome ... EKG, labs, cardiac ... Abnormal ECG or ... #clinical #video
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Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... Source: Fanaroff AC ... : The Rational Clinical ... #Cardiology #ACS ... Atypical #ChestPain #Cardiac
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... summation gallop • Abnormal ... ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
neurocheck was normal ... #Embolization #Cardiac ... #Arterial #Clinical ... echocardiogram #Cardiology ... #A4c #Embolism
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Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... shunt (Type 2) Clinical ... left heart 3-6 cardiac ... blood gas (ABC) ... #diagnosis #management
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... lack of acute cardiac ... level <100 pg/ml EKG ... respiratory distress syndrome ... #cardiology