52 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Extrinsic compression (e.g ... atelectasis • Lung ... CNS depression (e.g ... wall compliance (e.g ... #Diagnosis #Management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
- CBC with differential ... Relevant drug levels (e.g ... appropriate Consider CT ... rigidity) Consider EEG ... #CriticalCare #Diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Differential Diagnosis of Wheezing
 • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... Intrathoracic, upper airway ... Parasitic infection (e.g ... #Diagnosis #Causes ... #pulmonary
Bronchiectasis - Permanent dilation of an airway
WHAT CAN YOU SEE ON CT?
1) Lack of tapering of
CAN YOU SEE ON CT ... involving both lungs ... Bronchiectasis #pulmonary ... #diagnosis #differential ... #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... shunting (eg, pulmonary ... intracardiac shunting (eg ... #Diagnosis #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
blood gas, 12-lead ECG ... #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... carcinoma of the lung ... CNS pathology (e.g ... pathology (e.g. ... #Causes #Sodium