9 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... on POCUS (PLAX ... Non-ischemic EKG ... Echocardiogram #PLAX #Clinical ... #Ultrasound #POCUS
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Stenosis - Ischemic ... Angina - Non-lschemic ... Dissection ... ChestPain #Noncardiac #Cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... systemic HTN, aortic ... dissection ... Cardiogenic #Shock #Differential ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... : Acute STEMI, Aortic ... dissection, PE, ... Miss Signs of Ischemia ... Wong @mchlwng #Ischemia
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... /V/diaphoresis Aortic ... Dissection: - ... deficit, Limb ischemia ... #Algorithm #differential
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Necrosis Etiology: - Ischemia ... acidosis, and Aortic ... dissection. ... restored to esophagus Clinical ... Necrosis #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Early embolic/ischemic ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... Change in clinical ... risk (>5%): - Aortic ... one post op Cardiology ... medical and surgical management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
heart disease like aortic ... segment • Epsilon #clinical ... not have obvious ischemia ... Clinical Utility ... #cardiology #differential