16 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... • Pulmonary embolism ... • Cardiac tamponade ... : • EKG • Bedside ... Well score for PE
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... of cardio-pulmonary ... also a result of atrial ... #diagnosis #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... chest pain - PE ... paradoxus - ECG ... #Pericardial #Cardiac ... #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm Cardiac ... • Pericardial Tamponade ... • Pulmonary Embolism ... Primary Pulmonary Arterial ... #HeartFailure #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... : • New cardiac ... Cause Injury By ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... Consider invasive arterial ... consultation with cardiology ... Diagnosis #Management #Workup
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... : • New cardiac ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Differential #Diagnosis #cardiology
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
cardioembolic work ... #Embolization #Cardiac ... #POCUS #echocardiogram ... #Cardiology #A4c ... #Embolism
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Tamponade ... →↑ Pulmonary Embolism ... -4.2 kg*m/m2 CI ... A-a GRADIENT PA-aO2 ... PaCO2/R))-(Pa02) PA-a02
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... In this case, the ... #Clinical #EM #Radiology ... #POCUS #CardiacUS