13 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... low voltage QRS, electrical ... #Cardiac #Tamponade ... #Becks #Triad #Diagnosis ... #Cardiology
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 ... electrocardiogram #diagnosis ... #cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #PLAX #MMode ... #electrical #alternans
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
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
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