49 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• At least 3 different ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... sets at three different ... suspect right-sided endocarditis ... w/ septic pulmonary ... block (+/- daily EKG
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... Pneumothorax • Pulmonary ... rupture Initial workup ... : • EKG • Bedside
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Heart Disease Pulmonary ... • Rupture • Endocarditis ... cardiomyopathy • Pulmonary ... Systolic #Murmurs #Cardiology ... Diagnosis #Algorithm #causes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Guidelines for Crises ... consultation with cardiology ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause ... diagnosis #management #cardiology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Chronic Obstructive Pulmonary ... • Drug Abuse (e.g ... Diagnosis #Algorithm #causes
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... in Anaesthesia Causes ... over 2 h (>65 kg ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... Anesthesiology #Anesthesia #Intraoperative ... Diagnosis #Management #Workup