128 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... leads Cardiac MRI ... Cardiomyopathy #POCUS
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... - RAD: AntLat MI ... Mg, congenital, MI ... #Approach #ECG ... #EKG #diagnosis
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... electrolytes, CXR, ECG ... CSF, thyroid, MRI ... AlteredMentalStatus #Delirium #Management
LUMBAR Syndrome

What do you call a segmental lumbosacral hemangioma + spinal problems?? LUMBAR syndrome, a fairly
ensure correct management ... pathogenesis • MRI ... spine + MRI/MRA
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... cardiac death Management ... Myocarditis #Diagnosis #Management
Second Degree AV Block Type I aka Mobitz I / Wenckebach 
 • Normal P waves.
followed by a QRS ... • As the PRI ... group-beating" on the ECG ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Carotid U/S, EEG ... , Brain MRI, Cardiac
Nipple Discharge - Galactorrhea - Differential Diagnosis Algorithm

↑ TSH - Primary hypothyroidism
↑ ß-HCG - Pregnancy
↑ Creatinine
hypothyroidism ↑ ß-HCG ... renal failure MRI
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
Diagnosis and Management ... 215 mm (TTE/CT/MRI ... testing, LGE on MRI ... HOCM #Diagnosis #Management
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
a NCCT or • MRI ... Detected on NCCT vs MRI ... Cardioembolic: • ECG ... Defined if 1) CT/MRI-confirmed