32 results
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 ... Myocarditis #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... #Cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... • Aggressive management ... Internet Book of Critical ... criticalcare #diagnosis #management
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
This is a cardiac CT ... to acute kidney injury ... with an ECG simulator ... CardiacCT #CCTA #CTS #clinical ... #radiology #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... diffuse inhalational injury ... #Radiology #differential ... pulmonary #CXR #clinical ... #CT
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... Recurrent anginal chest ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... inflammatory lung injury ... be detected on CT ... objective assessment“ (e.g ... Management ● Early
Gas in the Left Atrium and Ventricle - Computed tomographic (CT) angiography of his chest, abdomen,
Computed tomographic (CT ... ventricle (Panel A) #Clinical ... #Anatomy #CTS #Radiology ... #CT #CTChest #AtrialEsophagealFistula ... #Fistula #NEJM
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... Traumatic brain injury ... Checklist #Diagnosis #Management
Hemothorax after Thoracentesis - Unfortunately, hemothorax developed shortly after the procedure (Panel B). Computed tomography and
iatrogenic arterial injury ... embolization (Panel D) #Clinical ... #Radiology #Hemothorax ... #CXR #CT #Angiogram ... Thoracentesis #NEJM