11 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... diagnosis #management #cardiology ... #summary #biopsy
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... on Chest CT • Parallel ... bronchiectasis, CF ... #diagnosis #radiology ... #clinical
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... Consider cardiac ... endomyocardial biopsy ... diagnosis #management #cardiology
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... #clinical #Lymphangioleiomyomatosis ... #LAM #radiology ... #CT #wedge #biopsy ... #NEJM
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... ECG is vital while ... Cardiac cath if ... algorithm #management #cardiology ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... signs of congestive ... #Clinical #Radiology ... #CTChest #CHF #
he CT shows a lesion that originates in the lung.
Many would have a lungcancer on the
he CT shows a lesion ... the comet tail sign ... convincing, then biopsy ... #Clinical #Radiology ... #CTChest #RoundedAtelectasis
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
A chest radiograph ... tomography of the chest ... bronchoscopy and biopsy ... #NEJM #clinical ... #radiology #CT #