10 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR ... , PT. aPTT • Serial
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... pancreatitis) - Arterial ... - Thrombus ... / Embolism: Cardiac ... #algorithm
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... Michael Macias, EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
placed through an arterial ... sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... Workup #hematology #diagnosis ... #algorithm #hematology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... Valvular disease (e.g ... prosthetic valve NON-CARDIAC
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
dental procedure • Cardiac ... Libman Sacks) • Atrial ... loss • Myalgias Cardiac ... : • New cardiac ... ↑ ESR, CRP • EKG
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
dental procedure • Cardiac ... Libman Sacks) • Atrial ... loss, Myalgias Cardiac ... : • New cardiac ... ↑ ESR, CRP • EKG
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... Genetic variants (e.g ... deficiencies (e.g ... Consider biomarkers (e.g ... experience recovery of cardiac