33 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology ... #causes
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Clinical presentation ... Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #cardiology #MRI
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
Hyperglycemia - Differential ... Diagnosis Algorithm ... Hyperglycemia (e.g ... Burns, Sepsis) • Shock ... endocrinology #causes
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
is identified (video ... Workup for cause ... highest on my differential ... EtOH causes thiamine ... Fingernails #Nailbed #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... #Algorithm #DCSI ... #Initiative #Management ... #Cardiology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... wide vs. narrow pulse ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... wide vs. narrow pulse ... Classification #diagnosis #management ... #criticalcare #differential ... #causes #classification
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Examine for: • Pulse ... deficit/differential ... deficit • Shock ... Dissection #diagnosis #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary