22 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Endomyocardial biopsy ... Cardiovascular MRI ... gallop • Abnormal ECG ... #Management #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... week of becoming acute ... anterior wall MI ... Serial EKGS in pts ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... also be seen in acute ... MI - Dr. ... #cardiology #diagnosis ... #clinical
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... presentation: Pseudo-acute ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology ... #summary #biopsy
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
and Management ... Summary Clinical ... Anemia (common) ... CT/MRI of the thorax ... Percutaneous renal biopsy
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Lutzomyia verrucarum Clinical ... severe hemolytic anemia ... Nodular → Mular DIAGNOSIS ... Derm findings, biopsy ... #management #Bartonella
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic complaints- anemia ... temporal artery biopsy ... Biopsy identifies ... #Management
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Related Disease Clinical ... orientation, Biopsy ... hypergammaglobulinemia, ↑ acute ... (new biopsy+++) ... #management #phenotypes
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... support for patients clinically ... Cardiomyopathy #diagnosis ... #management #cardiology