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diagnosis cardiology management differential criticalcare clinical ecg syndrome tachycardia algorithm causes chf electrocardiogram heartfailure rheumatology shock @dharsaty abdominal abscess acidosis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... tachycardia (MAT ... AV block 1º - long ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... flutter or MAT ... Control rate (e.g
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
Approach to ECGs ... : WPW, ectopic atrial ... 500 DANGER - Short ... #Approach #ECG ... #EKG #diagnosis
Extracorporeal Membrane Oxygenation (ECMO) - Basics Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... (pulmonary support ... Lmin (100-150 mL/kg ... Assess perfusion (eg ... • Bronchoscopy may
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long ... (Torsades) or vFib ... **Get baseline EKG ... seizures and consider long ... family history) Treatment
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
PATM 760 mm Hg at ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
when possible (eg ... dysrhythmias (eg ... , atrial fibrillation ... pressure (PEEP) for pulmonary ... reverse the insult (eg
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG
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