35 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... • Aggressive management ... of infection (e.g
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... rightventricular #cardiology #management ... #treatment
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 ... Control rate (e.g ... #management #cardiology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... doppler, CTA • ECG ... AECOPD #Algorithm #Management ... #Exacerbation #treatment ... #pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... #diagnosis #management
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... • Airway Management ... #treatment #workup ... #pulmonary #criticalcare
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Echinocandins (e.g ... clinical concern for endocarditis ... IDSA #Guidelines #Management ... #candidiasis #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