51 results
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... • Vasculature: PE ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... of cardio-pulmonary ... supporting evidence of PE ... AcutePE #diagnosis #cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... so, on an erect PA ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... • Malignancy (e.g ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Quadricuspid Aortic Valve on Cardiac MRI with Severe Aortic Regurgitation
54 yo/ severe aortic regurgitation.  CMR
Aortic Valve on Cardiac ... CMR showing quadricuspid ... and non-coronary cusps ... , and partial fusion ... CardiacMRI #clinical #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... flare ups that cause ... Treatments may include: cardiac ... #Management #Cardiology ... #CHF #Congestive
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm