12 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
atrial injury from pericardial ... : Differential diagnosis ... aVR • Classic EKG ... #ekg #differential ... #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... Secondary to invasive cardiac ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... #cardiology
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
clotting disorder, Malignancy ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... Hypoperfusion: Lumen (Bowel ... #algorithm
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... (+LR 2.6) - Cardiac ... - History - EKG ... #Evaluation #diagnosis ... #Algorithm #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 ... Pericarditis, Tamponade EKG ... Myocardial injury (ST elevation ... agent, steroids, AC ... #Myocarditis #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Prinzmetal's Angina: • Epicardial ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
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 ... Fick calculated cardiac ... TIMI III flow in all ... major epicardial
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Diffuse spasm of epicardial ... Variable troponin elevation ... Diagnosis: ... changes on tele/ECG
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... drugs, seizures, malignancy ... perfusion - Cardiac ... failure - Low cardiac ... lactate and can act
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
erythematosus (ACLE ... Differential Diagnosis ... Infections • Malignancy ... Serositis: • Pleural/pericardial ... small and large bowel