15 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
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... - Radiation to neck ... - History - EKG ... ACS #Evaluation #diagnosis ... #Algorithm #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 and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Friedreich's Sign on Neck ... Most likely diagnosis ... small blue-colored spot ... #JVP #PhysicalExam ... #Cardiology
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
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 ... #JVP #Cardiology ... #Neck #Frog #Sign
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... proportional to heart ... @AmyChung #EKG ... Electrocardiogram #cardiology ... #diagnosis #system
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... balance • Flat neck ... level <100 pg/ml EKG ... distribution • Heart ... #diagnosis #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