38 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... Pain #Diagnosis #Algorithm
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... #Pericardial #Cardiac ... #Tamponade #Becks ... Triad #Diagnosis #Cardiology
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... Dyspnea #Acute #Workup ... #Algorithm #Diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... Pericarditis, Tamponade ... EKG Findings: ... agent, steroids, AC
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... • Migraine Cardiac ... Stenosis • Cardiac ... Tamponade ... Syndrome #Syncope #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Abnormalities #Disorders #Cardiology ... Differential #Diagnosis #Algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... and Survey 4) Workup ... dilated IVC - Cardiac ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... • Call for cardiac ... anaesthesia #Cardiac ... Diagnosis #Management #Workup