22 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... hypertension Management ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
- A Randomized Trial ... a multicenter trial ... septic shock was diagnosed ... Protocol #Sepsis #VisualAbstract ... Threshold #EBM #Management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
regurgitation) Diagnosis ... defects • Confirm diagnosis ... antagonist • BENEFiT Trial ... Thromboendarterectomy #diagnosis ... #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Disease Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... Stills #Disease #diagnosis ... #management #treatment
Nocardiosis - Nocardia spp
Pathogen: Filamentous gram-positive branching rod, grows in acid fast staining and anaerobic conditions
Clinical
involved) 32% • Pulmonary ... Nocardiosis #Nocardia #diagnosis ... #management #microbiology ... #infectiousdiseases
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... RVSP) - Estimates pulmonary ... ventricular size, Right atrial ... pressure, Pulmonary ... #management #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... cycles after right atrial ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... #management #treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Laryngeal and pulmonary ... Therapeutic trial ... • Once daily trial ... #management #Gastroenterology
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Aspergillus (IA) - Diagnosis ... and Management ... presentations: • Pulmonary ... #Management #treatment ... #fungal #infectiousdiseases