39 results
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
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
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
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
nodal conduction Uses ... : - Atrial fibrillation ... and atrial flutter ... Digoxin effect on ECG ... Cardiology #Digitalis #ECG
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... DANGER (4) Vfib/flutter ... flutter (3) ... (3) Multifocal atrial ... 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 ... : • EKG • Bedside ... , PT. aPTT • Serial ... Pain #Diagnosis #Algorithm
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... • Premature atrial ... Monofocal Ectopic Atrial ... Differential #Diagnosis #Algorithm ... #causes
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
Causes of Splenomegaly ... Differential Diagnosis Algorithm ... Bacterial • Viral (EBV ... • Thrombus (e.g ... Differential #Diagnosis #Algorithm
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... are caused by prerenal ... obstruction: • Trial ... KidneyInjury #simplified #workup
Proposed Algorithm for Diagnosing Sarcoidosis
Highly suggestive Clinicoradiological Findings → Clinical diagnosis (without biopsy) e.g. Löfgren's syndrome
Suggestive
Proposed Algorithm ... without biopsy) e.g ... of alternative causes ... #Sarcoidosis #Algorithm ... #diagnosis #Workup