52 results
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 ... • Oxygen • Treatment ... #ECG #EKG #Management
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
(e.g low cardiac ... carrying capacity (e.g ... cannot use oxygen (e.g ... #pulmonary #differential ... #diagnosis #causes
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
atelectasis • Lung ... CNS depression (e.g ... wall compliance (e.g ... #Hypoxia #differential ... #Diagnosis #Management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... , Flash Pulmonary ... (JVP, edema), Lung ... POCUS (B-lines, lung ... #treatment #criticalcare
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... Diagnosis #pulmonary
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... carcinoma of the lung ... CNS pathology (e.g ... pathology (e.g. ... #Diagnosis #Table
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long ... **Get baseline EKG ... family history) Treatment ... abnormalities - Avoid QTc ... LongQT #Syndrome #Diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare