18 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... thrombolysed with SK ... Echocardiogram #POCUS ... #clinical #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Discharge with orthpedic ... Mallet #Finger #Radiology ... #Hand #Orthopedics ... #MSK
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... - Acute HF, Cardiogenic ... Myocarditis #diagnosis #management ... #cardiology #summary
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology ... #clinical
Humerus Fracture on POCUS

A woman fell down a flight of stairs and can’t move her left
Humerus Fracture on POCUS ... fracture is seen on POCUS ... #clinical #ultrasound ... #msk #orthopedics ... #radiology
Shoulder Infraspinatus Hematoma on POCUS

A woman fell down a flight of stairs and can’t move her
Infraspinatus Hematoma on POCUS ... Infraspinatus #Hematoma #POCUS ... #clinical #ultrasound ... #msk #orthopedics ... #radiology