11 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Diagnosis #ECG ... #EKG #Management
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical ... #CXR #ChestXRay
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... • Vasculitis (e.g ... #Abscess #pulmonary
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... doppler, CTA • ECG ... #Exacerbation #treatment ... #pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... ischemic changes CXR ... Transfusion-related acute lung ... #cardiology
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... The differential diagnosis ... for pulmonary tuberculosis ... #Clinical #PCC # ... Radiology #CXR #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Diagnostic tests ... uncertainty (e.g ... suspected Adiunctive treatments ... other indication (e.g ... lab-confirmed influenza, pulmonary
Pulmonary Histoplasmosis
Quick Facts on Histoplasma capsulatum:
 • Dimorphic fungi, in yeast phase within the body
 •
Pulmonary Histoplasmosis ... , Sputum / BAL cx ... testing, Serology, PCR ... Treatment: • ... echinocandins (e.g