32 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... despite hx HTN) EKG ... precordial leads) - atrial ... #Amyloidosis #Cardiac ... #Symptoms #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology ... #algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... Abnormalities #Disorders #Cardiology ... #Differential #
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Dissection on POCUS ... Echocardiogram STEMI on EKG ... Echocardiogram #cardiology ... #clinical #plax
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 ... hypovolemia), Meds/Treatments ... #Diagnosis #algorithm
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical #cardiology ... echocardiogram #a4c #plax ... #pocus #airgap ... #sign
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... excludes other differentials ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... Fick calculated cardiac ... Initiative #Management #Cardiology