10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... IVIG (Giant cell, eosinophilic ... #Diagnosis #Management ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... Pericarditis, Tamponade EKG ... - Necrotizing Eosinophilic ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
angiogram findings Pathologic ... dissection, PE, peri/myocarditis ... deWinter T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... fragment • Other: Myocarditis ... should be done on diagnosis ... Cardiomyopathy #diagnosis ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Pericarditis/Myocarditis ... Osborne waves - Short ... #differential #diagnosis ... #cardiology #ecg
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... to be in ADHF starts ... ECG is vital while ... #algorithm #management ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
of arteries Management ... Biopsy to confirm diagnosis ... rule out other pathology ... Initiate ACEi (short-acting ... #management
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
rheumatic disease • Myocarditis ... including giant-cell myocarditis ... recognition and management ... Cardiomyopathy #Cardiology ... #OBGyn #Diagnosis
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... pseudoachalasia: • Short ... #Achalasia #diagnosis ... #management #treatment ... #gastroenterology