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diagnosis algorithm endocarditis fibrillation gastroenterology hypoxemia hypoxia infectiousdiseases rheumatology syndrome tachycardia aa abscess adultonset afib alveolar arterial arteritis behcet bronchiectasis
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
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... exercise intolerance, chest ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries Takayasu's arteritis: - Onset < 40 yrs -
sinusitis - pulmonary ... pancreatitis Erdheim-Chester ... disease: - Bone ... Coronaries #Arteritis #Differential ... #Diagnosis #Cardiology
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Weakness, Loss of Chest ... Elasticity (flail chest ... Gradient #alveolar #arterial ... #hypoxemia #differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Rapid Response Management ... asthma • Pleural disease ... Hypoventilation: • CNS ... MG, ALS) • ↓ chest ... Hypoxemia #Hypoxia #differential
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... fraction < 20% Differential ... hepatitis • Pulmonary ... #diagnosis #management ... #treatment #rheumatology
Esophageal Crohn's Disease Management Algorithm Assess for Active Symptoms and for Stricturing/Fistulizing Disease Stricturing DX: • Bx r/o
Management Algorithm ... • Serial Dilation ... Fistulizing DX: • Chest ... Fistula: Consult CTS ... #treatment #IBD
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... Other tests: • CT chest ... #diagnosis #management ... #treatment
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
exercise intolerance, chest ... Noncardiac: • Pulmonary ... disease • Drugs ... AFib #diagnosis #management ... #cardiology
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