14 results
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
hypercalcemia, brain injury ... This EKG was recorded ... #Cardiology #diagnosis ... #CriticalCare # ... #Clinical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... #Management #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 ... #Myocarditis #diagnosis ... #management #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... block (+/- daily EKG ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... diffuse inhalational injury ... #Radiology #differential ... #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 ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... ECG is vital while ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis