14 results
Congenital Heart Disorders - Classification and Differential Algorithm

- Amy Chung, MD, MSc @AmyChung 

#Congenital #Heart #Disorders
Congenital Heart ... Amy Chung, MD, MSc ... #Algorithm #Diagnosis ... #Peds #Pediatrics ... #Cardiology #Cyanotic
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Regular rhythm ... complexes >120 ms ... • Heart rate ... #Rhythm #AIVR #diagnosis ... #cardiology #EKG
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Diagnosis - Absent ... , severe right heart ... #Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... inability of the right heart ... #clinical #video ... #jvp #cardiology ... #neck #jugular
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
below), 1st degree heart ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
There is an extra heart ... the underlying diagnosis ... Kussmauls #Sign #PhysicalExam ... #Neck #JVP #Jugular ... Pericarditis #Cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
1) Rate - Regular ... proportional to heart ... de pointes • Short ... Electrocardiogram #cardiology ... #diagnosis #system
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Marantic (NTBE) Differential ... Diagnosis: • Rheumatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... • Rapid and regular ... #Palpitations #Cardiology ... #Differential #