9 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
(HOCM) 52yo ... EKG nonspecific, ... elevated LVEDP ==> MRI ... (+) septal HCM ... #HOCM #HCM #clinical
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Contractility: • MI ... Stenosis • HCM ... #Syncope #Cardiology ... #causes
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... ventricular arrythmia, syncope ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... #cardiology #MRI
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
(consider AS, HOCM ... , can be caused ... are hypertrophic cardiomyopathy ... characteristically cause ... #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Clinical: Dyspnea ... Echocardiography, Cardiac MRI ... Hyper-eosinophilc Syndrome ... #differential #cardiology ... #algorithm
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
MI effecting [LAD ... DD the [apical HOCM ... hypereosinophilic syndrome ... Mural #Thrombus #clinical ... #pocus #a4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... 30%, LVEDd > 6.0 cm ... ancestry, LGE on MRI ... support for patients clinically ... diagnosis #management #cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... (HOCM) ... segment • Epsilon #clinical ... Clinical Utility ... #cardiology #differential
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
non-reactive pupil, and HM ... The MRI findings ... acyclovir 10mg/kg ... Ophthalmicus #HZO #clinical ... #video #ophthalmology