82 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... and/or digoxin level ... #HeartFailure #Cardiology ... #Management
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #Shock #Management
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
to rnonths • Fever ... • Carbapenem (e.g ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Increased pulmonary ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #Diagnosis #Management
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
., CXR, CT, ultrasound ... ., fever/hypothermia ... procalcitonin) - Pulmonary ... symptoms (e.g., ... Diagram #Diagnosis #Pulmonolary
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
, Diaphoresis, Pulmonary ... edema, Shock Labs ... Glucose, Salicylate level ... Toxic Salicylate Level ... : 150mg/kg Management