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diagnosis clinical algorithm ecg echocardiogram electrocardiogram endocarditis heartfailure pharmacology stemi abnormalities aorticdissection aorticregurgitation cardiomyopathy causes chf criticalcare disorders doublevalve effusion
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
- Differential ... dissection • ... pressure >10mmHg: • Cardiac ... regurgitation ... Abnormalities #Disorders #Cardiology
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... • Cardiac surgery ... Examine for: • Pulse ... deficit/differential ... #management #vascular
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... regurgitation and ... dissection.- Michael ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
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 Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... Dissection on POCUS ... Echocardiogram STEMI on EKG ... #Dissection #POCUS ... Echocardiogram #cardiology
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 Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... infarction • Aortic ... dissection - proximal ... #Diagnosis #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure (pulse ... murmur of valvular regurgitation ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... Interpretation #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... • Severe aortic ... regurgitation ... #Palpitations #Cardiology ... #Differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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