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differential management atrial causes palpitations tachycardia ecg emergency erythrocytosis evaluation hematology hypoxemia mat mnemonic multifocal narrowcomplex perioperative pirates polycythemia preop
Atrial Fibrillation - Diagnosis, Causes, Presentations Causes (PIRATES): - Pulmonary embolism - Ischemia (cardiac) -
Atrial Fibrillation ... - Diagnosis, Causes ... (PIRATES): - Pulmonary ... #AFib #Diagnosis ... PIRATES #Emergency #Cardiology
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
to chronic lung disease ... (COPD) • Hypoxia ... • Pulmonary hypertension ... #Diagnosis #ECG ... #EKG #Management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Response Management Algorithm ... asthma • Pleural disease ... #Diagnosis #Management ... #Algorithm #rapid ... #pulmonary
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... Syndrome #Syncope #Cardiology
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL FIBRILLATION ... PHAEOCHROMOCYTOMA • PULMONARY ... DISEASE • HYPOXIA ... #Differential #Diagnosis ... #Cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... #AFib #diagnosis ... #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
disease or CHF) ... Probable atrial fibrillation ... disease or CHF) ... Treatment #management #cardiology ... #algorithm
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm Elevated Hemoglobin: • Males: Hb > 16.5 g/dL/HCT ≥ 49% •
Polycythemia Differential Diagnosis ... Algorithm Elevated ... : Cardiac/pulmonary ... disease, Smoking ... Paraneoplastic (e.g
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Arrhythmias: • Atrial fibrillation ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... stratification #diagnosis
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