121 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... Presentations Causes ... - Repiratory disease ... myxoma - Thyroid disease ... Fibrillation #AFib #Diagnosis
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... ACQUIRED VALVULAR DISEASE ... • PULMONARY DISEASE ... #Palpitations #Causes ... #Differential #Diagnosis
Meniere Disease - Endolymphatic hydrops - TRIAD 
1 Episodic vertigo (a true spinning sensation) 
2 Sensorineural
Meniere Disease ... Endolymphatic hydrops - TRIAD ... Tinnitus #Meniere #Disease ... Otolaryngology #Diagnosis ... #Management
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
cardiovascular causes ... hospitalization for the management ... Cardiology #EBM #VisualAbstract ... #Trial
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... to chronic lung disease ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... - Differential Diagnosis ... Defect ** • Atrial ... #Differential #Diagnosis ... #Algorithm #Causes
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... - Most common cause ... parachute MV (caused ... vegetations)/tumor (left atrial ... #diagnosis #differential
Etiology of Splenic Infarction:
 • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 • Embolic disease: Atrial
Malignancy • Embolic disease ... : Atrial fibrillation ... Lymphoma, Gaucher disease ... #differential #diagnosis ... #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
caution in pulmonary disease ... Treat underlying cause ... caution in pulmonary disease ... Treat underlying cause ... Tachycardia #Treatment #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... non-productive cough, nausea ... ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management