51 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
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
False Positive Lung ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound #pulmonary ... #differential # ... diagnosis #mimics
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Interpretation Checklist ... compare hilum position ... cervical rib Check lung ... #radiology #diagnosis ... #pulmonary
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... • Carbapenem (e.g ... #Abscess #Diagnosis ... #Pulmonary #Clinical
Lung Nodule - Differential Diagnosis Algorithm
Nodule on > 2 Years Without a Change in Size:
 •
Lung Nodule - Differential ... Diagnosis Algorithm ... Infection: • Fungal ... #Nodule #Differential ... #Causes #Pulmonary
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
cut-offs defined in clinical ... formulations (e.g ... BAL GM does not differentiate ... Clav (may be + as long ... Galactomannan #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Prevotella • Fungal ... #Abscess #pulmonary ... #differential #
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
Diagnosis and Management ... Initial checklist ... - Verify BP (e.g ... compression) Initial treatment ... Head down position
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... Persistent fever, positive ... Internet Book of Critical ... #criticalcare #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential