26 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... • Cardiogenic shock ... #Diagnosis #Management ... #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... pericarditis • Rule out differential ... Beaudequin #Myocarditis ... #differential # ... #cardiology #MRI
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... any cause) - Myocarditis ... #Differential #
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Blockers, Digoxin Myocarditis ... #Cardiogenic #Shock ... #Differential # ... Diagnosis #Cardiology
Causes of Myocarditis 
1. Infectious Myocarditis
 • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Causes of Myocarditis ... Infectious Myocarditis ... Radiation, Electric Shock ... #Causes #differential ... #diagnosis #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... Treat myocarditis ... HF, Cardiogenic shock ... #diagnosis #management ... #cardiology #summary
Causes of Myocarditis
Infectious Etiologies:
 • Viral agents: Adenoviruses, Enteroviruses (coxsackievirus), Herpesviruses (human herpesvirus 6, Epstein—Barr virus),
Causes of Myocarditis ... , Epstein—Barr virus ... ), Hepatitis C virus ... #differential # ... diagnosis #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Valve Disease, Myocarditis ... #Differential # ... algorithm #treatment #management
Bronchiolitis - Lower respiratory tract (bronchioles) 

Microbiology 
 • Respiratory syncytial virus (RSV) (most commonl
Parainfluenza virus ... by a 1 to 3 day URI ... Respiratory failure Management ... Bronchiolitis #Diagnosis ... #Management #Peds
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
O2 delivery • MI ... Severe Valve Dz, Myocarditis ... Classification #diagnosis ... #management #Overview ... #criticalcare #differential