20 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... of Ischemia - ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... CM5 continuous ECG ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic ... Revascularization, treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... recent DAN) • EMG ... sparing of the lung ... #differential #diagnosis ... #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... causes (chronic lung ... m/s • Other signs ... pressure < 15mmHg TREATMENT ... #management #hepatology