40 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... - May mimic HF ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
standing erect, the pulmonary ... The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... injury • ED Management ... repair MH/CCF ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
• Nonoperative managernent ... repair MH/CCF ... Forearm #Ulnar #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Proximal #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
fracture • ED Management ... 1 week MH/CCF ... Mallet #Finger #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
5 or elevated Cr ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
fractures • ED Management ... 1 week MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation • ED Management ... 1 week MH/CCF ... Scaphoid #Carpal #Radiology ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK