13 results
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 ... Triad #Diagnosis #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... 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
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... • Migraine Cardiac ... Tamponade ... Syndrome #Syncope #Cardiology ... #causes
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Abnormalities #Disorders #Cardiology ... #causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Cardiac Causes ... • Pericardial Tamponade ... #HeartFailure #Cardiology ... Differential #Diagnosis #Algorithm
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac ... #Tamponade #POCUS ... PLAX #clinical #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac ... #Tamponade #POCUS ... A4C #clinical #cardiology