16 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate with AV nodal ... with caution in pulmonary ... #Tachycardia #Treatment ... #management #cardiology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Contrast Enhanced Ultrasound ... Lesions #Hepatic #Ultrasound ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... ) on room air Treatment ... #management #treatment
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Disease Clinical triad ... Differential Diaqnoses ... CK, normal biopsy ... hepatitis • Pulmonary ... #management #treatment
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign on POCUS ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound ... #cardiology
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
regurgitation) Diagnosis ... defects • Confirm diagnosis ... Bypass Other Treatment ... Promising inhaled and oral ... #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
a patient with portal ... ventricular size, Right atrial ... pressure, Pulmonary ... pressure < 15mmHg TREATMENT ... #management #hepatology
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... - VCU Ultrasound ... Echocardiogram #s4c
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
treatment Pathophysiology ... Imaging: CXR- pulmonary ... Renal Failure Treatment ... 500 mg QD until normal ... #management #hematology