8 results
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... thrombus • Digoxin ... TEE to exclude thrombus ... #diagnosis #management ... #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
caused by disruption ... Hyperflexion injury with axial ... 1 week MH/CCF ... #Radiology #XRay ... #Orthopedics #MSK
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... regimen is not as clear ... IV bolus can cause ... #pharmacology #management ... #cardiology #AFib
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
tendon), mallet finger ... tendon) • ED Management ... 1 week MH/CCF ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
- with severe MS ... (7) patient in atrial ... clinically be in CHF ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
place, whereas the longer ... • Mechanism: Axial ... MH/CCF/CWRU ... Thumb #Metacarpal #Radiology ... #Orthopedics #MSK
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... LVEDd > 6.0 cm, LV thrombus ... May have typical HF ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... disease b) CHF ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management