27 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
onto outstretched hand ... dorsum of the hand ... fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology
Decompensated Heart Failure Management Strategies

Wet (volume overloaded) vs Dry (euvolemic) and Cold (low cardiac output) vs
Heart Failure Management ... Dry (euvolemic) and ... Cold (low cardiac ... vs Warm (normal cardiac ... #CHF #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... MI, myocardial ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
HOCM) - Diagnosis and ... Management Diagnosis ... 215 mm (TTE/CT/MRI ... testing, LGE on MRI ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... Stage D CHF is frequently ... Treatments may include: cardiac ... #Management #Cardiology ... #CHF #Congestive
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology ... #management #diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... injury • ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
Metastatic Myeloid Sarcoma on Cardiac MRI

Ping pong with the tricuspid valve.

Myeloid sarcoma, metastatic from pancreatic origin!
Myeloid Sarcoma on Cardiac ... MRI Ping pong ... the RV inflow and ... Myeloid #CardiacMRI #Radiology ... #Cardiology #Clinical
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
heart failure and ... causes, aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM