29 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Cardiac Fibroma on Echocardiogram (a4c)

32yo asymptomatic male referred to clinics due to a "funny" ECG. 
Dx:
Cardiac Fibroma ... on Echocardiogram ... due to a "funny" ECG ... #Fibroma #a4c # ... clinical #cardiology
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Differential Diagnosis Algorithm ... Sepsis • Drugs (e.g ... Dilatation on Ultrasound ... Differential #Diagnosis #Algorithm ... #Causes #Hepatology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... life-threatening causes ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... • Bedside ultrasound
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... #diagnosis #algorithm ... #hematology #VTE
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
cardiomyopathy on Echocardiogram ... (A4C) ECG has ... Cardiac MR shows ... #A4C #apical #hypertrophic ... #clinical #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... physical activity - Nausea ... (+LR 2.6) - Cardiac ... - History - EKG ... #cardiology #Angina
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Differential Diagnosis Algorithm ... Polycythemia - Acquired Causes ... Hypoxia-driven: Cardiac ... Paraneoplastic (e.g ... #hematology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac