19 results
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
• Evaluate for signs ... • Evaluate for pericardial ... • Evaluate for causes ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Hypotension 2. ... chest pain - PE ... heart sounds, JVD ... paradoxus - ECG ... Triad #Diagnosis #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Regurgitation - Pericardium ... Arterial Hypertension ... #HeartFailure #Cardiology ... #Differential #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... Number of Cannon A per ... to diagnose the case ... excludes other differentials ... #Cardiology #Neck
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... dissection - SCAD • Pericardium ... - Tamponade Pulmonary ... • Vasculature: PE ... #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... Typically the JVP ... infarction, massive PE ... physicalexam #diagnosis #cardiology ... causes
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... hypertension (> ... #clinical #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... patients with pulmonary ... OTHER RARE CAUSES ... #Diagnosis #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Management Summary • Hypotension ... Full Set of Vital Signs ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... crackles, elevated JVP