43 results
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Diagnosis- Compatible syndrome ... lymphoproliferative disease ... lesions • 80% with lung ... • Metastatic disease ... diagnosis #causes #radiology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
underlying cause (CHF ... cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... Diseases, CNS Disease
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diffuse Lung Disease ... Respiratory Distress Syndrome ... • Chronic Lung ... #RHF #RightSided ... #HeartFailure #Cardiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Embolism, Obstructive Lung ... , Interstitial Lung
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) ... • Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Diseases • Acute ... Hx of asthma, CF ... Hypereosinophilic Syndrome ... , wt loss; CV, CNS ... #Diseases #pulmonary
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Thromboembolic Disease ... • Assess for Pulmonary ... ) • Consider Lung ... karanpdesai #cteph #management ... #algorithm #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... Noncardiac: • Pulmonary ... disease • Drugs ... #Fibrillation #Cardiology ... #Management #Algorithm
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumonia • Water: pulmonary ... asthma • Pleural disease ... atelectasis • Lung ... Hypoventilation: • CNS