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diagnosis differential management nephrology cardiology pediatrics peds endocrinology dermatology hematology treatment neurology acute obgyn hepatology hypokalemia hyponatremia pulmonary anesthesia anesthesiology
Causes of Tachycardia - Differential Diagnosis Algorithm Narrow Complex - Regular: • Sinus tachycardia • Atrial flutter
Causes of Tachycardia ... Differential Diagnosis Algorithm ... flutter • AV ... flutter with variable ... #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm Bradyarrhythmia (<60 bpm) • Sinus Bradycardia • Sick Sinus Syndrome • SA
Differential Diagnosis Algorithm ... • Sick Sinus Syndrome ... • Premature atrial ... Differential #Diagnosis #Algorithm ... #causes
Anatomical Differential Diagnosis for Arrhythmias • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS) • AV
bradycardia, Sick Sinus Syndrome ... : Premature Atrial ... Flutter (AFL), ... Atrial Fibrillation ... Differential #Diagnosis #Causes
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular Narrow - Regular: Use P
If see flutter p ... • Atrial Flutter ... see P, either Flutter ... If not Flutter P ... #wide #narrow #algorithm
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... ARRYTHMIA • ATRIAL ... FLUTTER • HEART ... PARKINSON WHITE SYNDROME ... #Palpitations #Causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic ... Treat underlying cause ... flutter or MAT ... Treat underlying cause ... management #cardiology #algorithm
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Defect ** • Atrial ... Hypoventilation Syndrome ... #Causes #Pulmonary
Narrow Complex Tachycardias (Simplified) Irregular Narrow Complex Tachycardia: 1. Atrial fibrillation - Usually the correct answer 2. Multifocal
Atrial fibrillation ... Multifocal Atrial ... Atrial flutter ... (Ectopic) Atrial ... differential #diagnosis #causes
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
DANGER (4) Vfib/flutter ... flutter (3) ... (3) Multifocal atrial ... (2) Sick Sinus Syndrome ... 200ms from longer pause
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Algorithm History ... life-threatening causes ... , PT. aPTT • Serial ... Pain #Diagnosis #Algorithm ... #workup
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