17 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... • Hypoxia • Pulmonary ... hypertension Management ... • Oxygen • Treatment ... #MAT #Cardiology
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Troponin), ABG, STAT CXR ... #treatment #criticalcare
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Treatment #management ... #cardiology #algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... contraction and prevent tachycardia ... hypertension, pulmonary ... #Cardiology #HFpEF ... dCHF #Diastolic #Treatment
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... Exam: Tachypnea, Tachycardia ... , Diaphoresis, Pulmonary ... edema, Shock Labs ... #Treatment
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
rales, peripheral edema ... → no signs of CXR ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... myalgias, HoTN, edema ... common • Imaging: CXR ... - pulmonary opacities ... APML #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large ... Revascularization, treatment ... #HeartFailure #Cardiology ... #Management
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... resolved after treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... edemaEdema ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology