19 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... , ECG predicted ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
improves coronary artery ... • Triggers (EKG ... nickmmark #IABP #IntraAortic ... Balloon #Pump #diagnosis ... #management #cardiology
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
interventional radiology ... an appropriate clinical ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
hypotension persisting after ... cause) or septic shock ... cultures if possible (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tube ❹ Rapid diagnosis ... • Diagnostic ... pericardiocentesis (Box B). ❽ After ... Plan definitive management ... #Management #Workup
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 ... HF, Cardiogenic shock ... #Myocarditis #diagnosis ... #management #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
adrenaline infusion after ... as patient is stable ... an appropriate critical ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... not be subtle e.g ... involve the temporal artery ... E.g. 80 yo ESR cutoff ... #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical • Under-recognized ... Pts: cardiogenic shock ... Delivery • Stable ... #management #cardiology