23 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... hypertension Management ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Apley Compression Test on Knee Examination

With the patient prone, the knee being tested is flexed to
Compression Test on Knee ... patient prone, the knee ... examiner applies an axial ... #PhysicalExam # ... clinical #video #orthopedics
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Absent a wave - Atrial ... Flutter waves - Atrial ... myxoma, pulmonary ... Differential #Diagnosis #PhysicalExam ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... relevant Maintain atrial ... sinus rhythm in atrial ... hypertension, pulmonary ... #Cardiology #HFpEF
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... fracture • ED Management ... Discharge with orthpedic ... Mallet #Finger #Radiology ... #Hand #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... fracture • ED Management ... Dislocation #Posterior #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... motion • ED Management ... Disposition: Pending orthopedic ... Thumb #Metacarpal #Radiology ... #Hand #Orthopedics
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... motion • ED Management ... home with close orthopedic ... Thumb #Metacarpal #Radiology ... #Hand #Orthopedics