15 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... Abnormal ECG, echocardiogram ... #Cardiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Tendineae on POCUS Echocardiogram ... Many underlying causes ... Assess for MR when ... #Ultrasound #Clinical ... #Cardiology #MitralValve
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Echocardiography, Cardiac MRI ... #differential #cardiology ... #algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... fracture • ED Management ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Incidence: 1 to 2 cases ... transplantation CLINICAL ... demyelinating or axonal • MRI ... - Spinal MRI may ... Syndrome #diagnosis #management
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... cord compression (MRI ... out • Brain MRI ... Herpes simplex virus ... Myelitis #diagnosis #management
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... COVID 19 - Zika virus ... Guillain-Barre Clinical ... axonal form • MRI ... Syndrome #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... Clinical • Under-recognized ... ARB/ACE-I/ARNI/MRA ... #cardiology #treatment
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM #HCM #clinical ... #echocardiogram ... #plax #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
treat the primary cause ... may not be the case ... #diagnosis #algorithm ... #cardiology #echocardiogram ... #management #clinical