50 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR ... Well score for PE
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
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
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
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #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 #
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... indicated, start CPR ... Plan definitive management ... #Workup
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Pulmonary >> Acute PE ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... consultation with cardiology ... Checklist #Diagnosis #Management ... #Workup