49 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Cardiology #Diagnosis #ECG ... #EKG #Management
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
Approach to Acute Dyspnea ... physical exam (e.g ... . cardiac, pulmonary ... Strong Medicine #Dyspnea
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... with chest pain/dyspnea ... Triage EKG (no prior ... thread for POCUS Pulmonary ... RJonesSonoEM #Pulmonary
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
complaining of dyspnea ... paradoxus - ECG ... collapse of RV - Treatment
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Inflammation (e.g ... procalcitonin) - Pulmonary ... symptoms (e.g., ... dyspnea, cough, ... Diagram #Diagnosis #Pulmonolary
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Thromboembolic Pulmonary ... Thromboembolic Pulmonary ... Exercise intolerance, dyspnea ... Bypass Other Treatment ... hemodynamic variables, dyspnea
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Chronic Causes of Dyspnea ... Differential Diagnosis Pulmonary ... Pleural effusion, Pulmonary ... Metabolic acidosis (eg ... BostonChiefs #Dyspnea
This is a parasternal long axis view of a young patient presenting with 3 days of
of progressive dyspnea ... x-ray and and ECG ... Michael Macias, EM ... University #Clinical #EM
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... #Tachycardia #Treatment