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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
symptoms Imaging • CXR ... consolidation, *rarely may ... unilateral* • POCUS ... #Cheatsheet #Diagnosis ... #Management #Summary
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... edema), Lung Exam, POCUS ... Troponin), ABG, STAT CXR ... #Management #treatment
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... for alternate diagnoses ... ventilated • CXR ... #COPD #AECOPD #Algorithm ... #treatment #pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare #algorithm ... #treatment #management
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
or definitive treatment ... external pacer ... and more durable treatments ... External #Pacing #cardiology ... #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
affect many organs ... multiplex WORKUP & DIAGNOSIS ... BNP, troponin if concern ... #differential #diagnosis ... #management #treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Blood cultures • CXR ... early disease) • CXR ... foreign body, cancer ... Lung #Abscess #pulmonary ... #treatment #diagnosis
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... atrial flutter or MAT ... #management #cardiology ... #algorithm
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... hemopathies, solid cancers ... Complications: MAS ... hepatitis • Pulmonary ... #management #treatment