27 results
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF ... • New ischemia ... #Fibrillation #Cardiology ... #Management #Algorithm
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Heart Failure - ... Differential Diagnosis Algorithm ... #HeartFailure #Cardiology ... #causes
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Heart Failure with ... Ejection Fraction: Management ... sinus rhythm in atrial ... prevent myocardial ischemia ... #Cardiology #HFpEF
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... , heart failure; ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... 1 week MH/CCF ... Mallet #Finger #Radiology ... #Hand #Orthopedics ... #MSK
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... with end-stage heart ... flare ups that cause ... #Management #Cardiology ... Stages #ACCAHA #Algorithm
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
cardiovascular causes ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM ... VisualAbstract #Trial
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
epicondyle > radial head ... injury • Terrible triad ... dislocation + radial head ... Dislocation #Posterior #Radiology ... #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
shaft with radial head ... missing the radial head ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #MSK