11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
and Workup Algorithm ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... #Algorithm #workup
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Tamponade ... • Constrictive Pericarditis ... Syndrome #Syncope #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... • Constrictive Pericarditis ... Abnormalities #Disorders #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 ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
echocardiogram to workup ... expiration not meeting diagnostic ... criteria (D) a ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... , Pericardial Tamponade ... Cardiac surgery?
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Pneumothorax, Cardiac ... Tamponade, Severe ... , Constrictive pericarditis ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... • Constrictive Pericarditis ... • Pericardial Tamponade ... #HeartFailure #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... Vascular imaging → Test ... • Provoked (e.g ... #hematology #diagnosis ... #algorithm #hematology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis