8 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Secondary to chronic ... lung disease (COPD ... ) • Hypoxia ... • Pulmonary hypertension
Medications for High-Altitude Sickness 
Acetazolarnide 
 • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Medications for ... Acetazolarnide • Carbonic ... • Decreases pulmonary ... arterial pressure ... #Management #Treatment
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Differential Diagnosis Algorithm ... Pulmonary Arterial ... and/or Hypoxemia ... Metabolic Disorders Chronic
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... patients with chronic ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... , Severe Valve Disease ... • Obstructive: Pulmonary ... #algorithm #treatment ... #management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Laryngeal and pulmonary ... throat clearing, chronic ... Desire to stop medication ... #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
neuromuscular disease ... exacerbation (cardiogenic pulmonary ... often w/ acute on chronic ... #criticalcare # ... management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... medical and surgical management