12 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... • Cardiogenic shock ... #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 ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
dissection, PE, peri/myocarditis ... big R or R/S>I STEMI ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Valve Disease, Myocarditis ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... Severe Valve Dz, Myocarditis ... Classification #diagnosis ... #management #Overview ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
oliguria (< 0.5 mL/kg ... Severe Valve Dz, Myocarditis ... Classification #diagnosis ... #management #Overview ... #criticalcare #differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... brady, Signs of Shock ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... fragment • Other: Myocarditis ... Pts: cardiogenic shock ... Cardiomyopathy #diagnosis ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... Pericarditis/Myocarditis ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Infection/Sepsis/Shock ... bone marrow or stem ... Reversible course Differential ... • EEG: With persistent ... #management #neurology