21 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Multifocal #Atrial ... #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
oxygen dissolved in arterial ... hemoglobin in arterial ... oxygen content of arterial ... (e.g low cardiac ... #pulmonary #differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... CXR, CTA Chest, Echocardiogram ... #Hypoxia #Workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... rupture Initial workup ... : • EKG • Bedside ... , PT. aPTT • Serial
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
lung diseases, pulmonary ... direction leads to hypoxemia ... , pulmonary AVMs ... , atrial or ventricular ... Respiratory #Failure #hypoxia
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... - No other workup ... Hypercoagulable #Workup
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on ... POCUS Echocardiogram ... found what the lab work ... , EKG and CXR didn ... Myxoma #POCUS #Echocardiogram
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... recent DAN) • EMG ... blood retum in serial
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... pedal edema, and clear ... transthoracic echocardiogram ... to workup right-heart
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... , atrial fibrillation ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... oxygenation; remove work