10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... IVIG (Giant cell, eosinophilic ... #Management #Cardiology
Katayama Fever - Physical examination and diagnostic testing revealed multiple small papules on the trunk (Panel
examination and diagnostic ... (3.0×109 eosinophils ... #Clinical #Radiology ... InfectiousDisease #CXR ... KatayamaFever #Rash #NEJM
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
ST elevation in lateral ... leads, also diagnostic ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior ... #Lateral #InferoLateral
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral ... wrist XR, the capitate ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... - Necrotizing Eosinophilic ... #Myocarditis #diagnosis ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... gallop rhythm), and laterally ... un lymphatic Diagnostic ... → no signs of CXR ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... multiple pregnancy, maternal ... Clinical • Under-recognized ... Cardiomyopathy #diagnosis ... #management #cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
have no serious diagnosis ... frequency (e.g. ... with a negative diagnostic ... #Management #PatientInfo ... #Cardiology #EM
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
(Can occur later ... Key Point: High clinical ... congestion on a CXR ... recognition and management ... Cardiomyopathy #Cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest