6 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... #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 ... shock, Arrythmias, Pericarditis ... agent, steroids, AC ... #diagnosis #management ... #biopsy
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... cancer ... 1800 ml ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Echocardiogram (S4c ... Prats @PratsEM #Malignant ... clinical #ultrasound #s4c ... echocardiogram #POCUS #cardiology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Infections • Malignancy ... Lungs: • Pleural effusions ... • Asymptomatic pericarditis ... • Myocarditis ... SLE • Kidney biopsy
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Venous disease (SVC ... thrombosis, VTE) • Cardiac ... Disease: Pericarditis ... , myocarditis, coronary ... Syndrome #diagnosis #management