23 results
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
pyrophosphate dihydrate (CPPD ... and/or x-ray - CPPD ... narrowing, and osteophytes ... Chondrocalcinosis #Pseudogout #CPPD
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... Initiate if severe COPD ... Dosing: 250 mcg tablet ... the treatment of COPD ... #Pharmacology #COPD
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Classification Table ... Class II) - Cold ... Class Ill) - Cold ... CHF #Diagnosis #Table ... #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
lung disease (COPD ... Tachycardia #MAT #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... • Asthma • COPD ... Pneumonia • ARDS • COPD
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
every 6 hours (CAPD ... machine (8 hours) (CCPD ... Hemodialysis #comparison #table
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... pts with severe COPD ... Stress #Testing #cardiology
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
e.g. pneumonia, COPD ... Differential #Diagnosis #Table
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
organizing pneumonia (COP ... #Diagnosis #Radiology ... #Differential #Table
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
heart block, ADHF, COPD ... #pharmacology #table