36 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Diagnosis #ECG ... #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
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 ... #Hypoxia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... shunting (eg, pulmonary ... intracardiac shunting (eg ... , atrial or ventricular ... #Differential #
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... disease or CHF) ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
- Congenital (e.g ... HHT), Acquired (e.g ... Vasodilation Lung ... #HeartFailure #CHF ... #causes
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... • Diffuse Lung ... Arterial Hypertension ... #HeartFailure #Cardiology ... #Differential #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... objective assessment“ (e.g ... there is no clear cause ... the underlying cause
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF