45 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... acute cardiac injury ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... Paraclinical assessment: EKG ... #Causes #cardiology ... #MRI
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... ) - BRUGADA SIGN ... CARDIOMYOPATHY - MYOCARDITIS ... TRAUMATIC BRAIN INJURY ... #Cardiology #Emergency
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... - Differential Diagnosis ... • inflammatory bowel ... • infection (e.g ... #radiology #KUB
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... seen in acute MI ... #cardiology #diagnosis ... #clinical
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Myocardial Injury ... cardiac illness: Myocarditis ... non-cardiac illness: Critical ... Classification #diagnosis ... #cardiology #troponemia
Disseminated Cysticercosis - Magnetic resonance imaging (MRI) of the head revealed diffuse hyperintense septated cystic lesions
resonance imaging (MRI ... Coronal MRI of the ... confirmed the diagnosis ... #Clinical #Radiology ... Solium #Microscopy #NEJM
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells