13 results
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Diagnosis Acute ... Acute Prosthetic Valve ... #Diagnosis #Causes ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... • Aortic valve ... Pulse deficit/differential ... #diagnosis #management
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib ... 200ms from longer pause ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic dissection ... OTHER RARE CAUSES ... #Diagnosis #cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... #Fibrillation #VFib ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Fine Vfib can be ... getting 12 lead ECG ... #Fibrillation #VFib ... #ultrasound #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... failure • Mitral valve ... brain flow (VT/Vfib ... #Palpitations #Cardiology ... #Differential #
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
300 = NSVT EKG ... in the opposite direction ... Diagnosis: • PAC ... #differential # ... cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #management #cardiology
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 ... #EKG #Electrocardiogram ... #clinical #cardiology