19 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
(PIRATES): - Pulmonary ... - Repiratory disease ... myxoma - Thyroid disease ... #Fibrillation #AFib ... PIRATES #Emergency #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... to chronic lung disease ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... #management #cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
Mnemonic for the Causes ... P - Pulmonary ... Disease, PE I ... #Fibrillation #AFib ... Differential #Diagnosis #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... control with early Afib ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flutter, or atrial ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... non-productive cough, nausea ... failure • Severe pulmonary ... microbiology #diagnosis #treatment ... #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Caused by intrapulmonary ... cycles after right atrial ... cirrhosis • Intra-pulmonary ... ) on room air Treatment ... #treatment #hepatology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
other obvious causes ... , left heart disease ... ventricular size, Right atrial ... pressure < 15mmHg TREATMENT ... Hypertension #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... Goodpasture's cause ... differential #diagnosis #management ... #treatment