41 results
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 ... MAT #Cardiology #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... shunt (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC) ... #diagnosis #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... #diagnosis #management ... #treatment #rheumatology
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
immediate, prior to ED arrival ... compartment syndrome ... especially with AC ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
and Management ... Clinical Manifestations ... Treatment: • ... Baclofen • Severe Disease ... #Management #treatment
Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have
Among pts with Pulmonary ... Arterial Hypertension ... with Eisenmenger syndrome ... AVCanal #Defect #a4c ... Echocardiogram #clinical
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Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
arterial hypertension ... , left heart disease ... ventricular size, Right atrial ... pressure < 15mmHg TREATMENT ... #management #hepatology
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... and Management ... Summary Clinical ... Budd Chiari syndrome ... Imaging and Treatment
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... thromboembolic material ... Bypass Other Treatment ... have inoperable disease ... #management