12 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... Secondary to chronic lung ... • Hypoxia • Pulmonary ... hypertension ... #EKG #Management
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
, Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... pseudoinfarct pattern (Q-waves ... precordial leads) - atrial
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... shunt (Type 2) Clinical ... passage • Arterial ... blood gas (ABC) ... on radioactive lung
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... arterial hypertension ... causes (chronic lung ... m/s • Other signs ... #diagnosis #management
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Arterial Hypertension ... arterial hypertension ... 100% reliable sign ... #Arterial #Hypertension ... Echocardiogram #clinical
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Hypertension (CTEPH ... Plexiform-lesion formation Clinical ... thromboembolic material ... Ventilation-perfusion lung ... Thromboendarterectomy #diagnosis #management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... abnormalities (hypo- or hypertension ... Consider invasive arterial ... Checklist #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... , traction for long ... , atrial fibrillation ... pressure (PEEP) for pulmonary ... #Shock #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... unless prior heart/lung ... medical and surgical management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... ratio ≤250 • Hypotension ... aeruginosa Clinical ... #treatment #Pulmonary