16 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... , Cardiogenic shock ... Pericarditis, Tamponade ... EKG Findings: ... Low voltage Treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... Pneumothorax, Cardiac ... Tamponade, Severe ... ) UOP > 0.5 cc/kg
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... Pneumonia • CHF ... Pericardial effusion/Tamponade ... • Hypovolemic shock ... • Temperature/FEVER
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
->treatments include ... tests before beginning ... treatment. ... perfusion - Cardiac ... failure - Low cardiac
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... the following criteria ... positive tourniquet test ... Shock evidenced ... classification #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Septic Emboli Cause ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... Cardiac cath if ... the determined cause ... algorithm #management #cardiology ... #heartfailure #chf
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... infectious disease caused ... mild (malaise, fever ... Confirmatory Tests ... and immunoblot (TESA
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Na delivery): CHF ... Cortisol+ACTH stim test ... only if no clear cause ... line, stabilizes cardiac
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... May have typical HF ... Pts: cardiogenic shock ... #management #cardiology ... #treatment