29 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... #Triad #Diagnosis ... #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
complaining of chest ... pain ECG: non ... leads Cardiac ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Fluid bolus 20 cc/kg ... Diagnostics: Chest ... HCG, ECG if concern ... non-sinus rhythm or cardiac ... Emergency #Management #CriticalCare
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Initial workup: • EKG ... #Pain #Diagnosis
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... - Radiation to neck ... (+LR 2.6) - Cardiac ... - History - EKG ... ACS #Evaluation #diagnosis
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology ... #Diagnosis #Clinical
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... - Distended neck ... pericarditis, Pericardial Tamponade ... Management #Summary #criticalcare
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... 's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... A4c #clinical #cardiology
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: ... #Myocarditis #diagnosis