Acute Myocarditis

What this deck covers

Acute Myocarditis in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. Recognition
2. Four hours later
3. The tracing
4. The radiograph
5. The scan
6. The blood tests
7. How much to give
8. When it gets worse
9. The cause
10. The dangerous hours
11. Losing ground
12. What the parents ask

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Gastroenteritis with hypovolaemic shock, Acute myocarditis, Septic shock from a chest infection, Diabetic ketoacidosis, A capillary refill time of 4 seconds, A blood pressure of 74/41 mmHg, Sinus tachycardia with small QRS complexes, Sinus bradycardia with a prolonged QT interval, Lobar consolidation in the right lower zone, Hyperinflation with flattened diaphragms, Cardiomegaly with pulmonary venous congestion, A normal film, A large ventricular septal defect, A pericardial effusion with tamponade, Severe aortic stenosis, A dilated left ventricle that contracts poorly, A raised troponin, A raised natriuretic peptide, A raised C-reactive protein, A raised blood lactate, Forty millilitres per kilogram over an hour, A further 10 mL/kg of fluid, A bacterial toxin, An inherited cardiomyopathy gene, An autoimmune disease such as lupus, Daily echocardiography.

Clinical pearls from this deck

• It is almost never the gut. A viral illness, then vomiting and lethargy, with a heart rate that does not match how ill the child looks.
• The rate that does not come down. Treat the fever and the dehydration, then look at what is left.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.