14 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage chronic cardiac ... Treat myocarditis ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #biopsy
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... performed) • Clinical ... gallop • Abnormal ECG ... Immunosuppressants (chronic ... #Cardiology
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
dealing with the differential ... diagnosis of chronic ... Biopsy revealed ... #Clinical #Radiology ... #CXR #Peripheral
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... patients With chronic ... #Checklist #CHF ... #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Prednisone 5mg/kg ... common • Imaging: CXR ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... *Chronic HFrEF may ... → no signs of CXR ... endomyocardial biopsy ... heartfailure #diagnosis #management
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
of Pregnancy Chronic ... And Proteinuria (e.g ... diagnosis so have high clinical ... htn #obstetrics #cardiology ... #differential #
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
AP, ↑INR, ↑BUN/Cr ... brightness) • Biopsy ... infiltration) Differential ... Maternal Support - Critical ... • Monitor and Treat
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
pneumonia • Chronic ... Lung Abscess - Clinical ... • Diminished breath ... Blood cultures • CXR ... early disease) • CXR
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... very remarkable w/differential ... temporal artery biopsy ... Biopsy identifies ... Symptoms #Diagnosis #Management