38 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... • Cardiogenic shock ... cardiac death Management ... #Diagnosis #Management ... #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Valve Disease, Myocarditis ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... algorithm #treatment #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
blocking agent • Shock ... Hyperkalemia Pulmonary ... infarction • Myocarditis ... • Aortic Valve Endocarditis ... diagnosis #causes #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... and/or digoxin level ... #HeartFailure #Cardiology ... #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... criticalcare #diagnosis #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
LV Failure (MI, myocarditis ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... neuraxial anesthesia), Liver
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - Triglyceride level ... as for septic shock ... abdominal compartment syndrome
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #Shock #Management
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Wilson's disease Pulmonary ... Spondyloarthropathies, SLE • Pulmonary ... disease, Vasculitis (e.g ... - Bacterial endocarditis