29 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Oxygen • Treatment ... #Multifocal #Atrial ... Cardiology #Diagnosis #ECG ... #EKG #Management
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... Brady Management ... P and QRS • Atrial ... summary #Diagnosis #EKG ... electrocardiogram #ecg
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Tachycardia #Treatment ... #management #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... Mobile #LA #TEE #Echocardiogram
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
rigidity, spasm - axial ... - Stiffness in axial ... unit activity on EMG ... of diazepam • EMG ... TPO, TTG, etc EMG
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Diagnosis and Management ... disease Imaging and Treatment ... Recombinant cytokines (e.g ... kinase inhibitors (e.g ... RCC #Diagnosis #Management
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Diagnosis and Management ... 20-90%, normal ECG ... Megaesophagus and achalasia ... Trypanosomiasis #Diagnosis #Management ... #Treatment
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
Immunosuppression (e.g ... few or absent AFB ... Treatment Regimen ... Leprosy #diagnosis #management ... #treatment
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
progression is gradual ... Treatment options ... fibers of the LES (eg ... LES pressure (eg ... #diagnosis #management