78 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... #Causes #cardiology ... #MRI
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on ... Normalization Spodick's sign ... seen in acute MI ... #cardiology #diagnosis ... #clinical
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
be seen on EKG ... often follows a URI ... in refractory cases ... #Cardiology #Diagnosis ... #Signs #Symptoms
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
with constrictive pericarditis ... cardiomyopathy, PE ... #PhysicalExam # ... Video #Clinical ... #Neck #Veins #Cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
the underlying diagnosis ... Causes = RV failure ... #PhysicalExam # ... Video #Clinical ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... • Chest pain, pericarditis ... gallop • Abnormal ECG ... #Management #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
complexes >120 ms ... from 50-110 beats per ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG ... #clinical
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
with constrictive pericarditis ... infarction, massive PE ... #physicalexam # ... diagnosis #cardiology ... #differential #causes
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... Radiology Imaging ... mass and NO prior signs ... #clinical #Radiology ... #diagnosis #msk