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Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Valvular heart disease ... Structural heart disease ... Noncardiac: • Pulmonary ... disease • Drugs
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Mismatch • Airway Disease ... • Parenchymal Disease ... Interstitial lung disease ... • Pulmonary Arterial ... Abnormalities • Chest
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Radiographic Features of Pulmonary ... Diseases - Pneumonia ... #Diseases #Radiology ... Lung #CXR #XRay #ChestCT ... #Differential #
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... to chronic lung disease ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries
Takayasu's arteritis:
 - Onset < 40 yrs
 -
sinusitis - pulmonary ... vasculitis Behcet's disease ... IgG4-related disease ... disease: - Bone ... #Diagnosis #Cardiology
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV ... ARDS, Metastatic disease ... sarcoma, Castleman's disease ... Infectious Diseases ... #diseases #differential
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
CONGENITAL STRUCTURAL DISEASE ... ACQUIRED VALVULAR DISEASE ... PHAEOCHROMOCYTOMA • PULMONARY ... DISEASE • HYPOXIA ... #Diagnosis #Cardiology
Clues to Differential Diagnosis of Central Cyanosis: Onset of cyanosis, Clubbing, Secondary erythrocytosis, Auscultation, X-ray, Echocardiography,
Clues to Differential ... Echocardiography, Arterial ... heart defect - Pulmonary ... diseases - Pulmonary ... Diagnosis #Central #Cardiology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... fraction < 20% Differential ... cancers • Systemic diseases ... autoinflammatory diseases ... AdultOnset #Stills #Disease
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Obstructive Lung Disease ... , Interstitial Disease ... Interstitial Lung Disease ... #hypoxemia #differential