14 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 ... (< 5% pts with afibb ... thrombus • Digoxin ... #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... - Observe and ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
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
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... exercise, after acute ... decompensated CHF ... #AFib #RVR #Medications ... #management #treatment
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Hyperflexion injury with axial ... 1 week MH/CCF ... #Finger #Radiology ... #Hand #Orthopedics
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
heart failure and ... ejection fraction, treatment ... cardiovascular causes ... hospitalization for the management ... #Cardiology #EBM
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Syndrome - Summary Acute ... Epidemiology: • 1-2 cases ... Paresthesias: Hands ... variants: (1) acute ... Syndrome #diagnosis #management
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... woman in ICU for acute ... PMHx recent CHF, ... are not POCUS: serial ... #clinical #cardiology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
malignancy (Especially acute ... • Increased thrombin ... + Bleeding Treatment ... Treat primary cause ... #treatment #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Management - GrepMed ... - ↓ Effective arterial ... Na delivery): CHF ... test (only if no clear ... cause) Management