10 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
venous pressure, positive ... lack lung rales ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... Beneficial in HFrEF ... Rate #Control #pharmacology ... #management #cardiology ... #AFib #Acute
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
is in a normal position ... weight loss or long ... This was an acute ... #Clinical #Radiology ... #CXR #AirBronchogram
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... 1 — Treat the lungs ... drained if causing acute ... #HeartFailure #Cardiology ... #Management
Total atelectasis
The chest x-ray shows total atelectasis of the right lung due to mucus plugging.
Notice the
regained its normal position ... atelectasis of a lung ... #Clinical #Radiology ... #CXR #Total #Lung ... #Collapse #RadiologyAssistant
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Blood cultures are positive ... Culture (+): Acute ... nodes • Roth’s spots ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... to be in ADHF starts ... differential #algorithm #management ... #cardiology #treatment ... icu #clinical #pharmacology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... cases Culture Positive ... : • Acute: S. ... nodes • Roth’s spots ... Differential #Diagnosis #cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
left decubitus position ... Obstructive lung ... dyspnoe due to acute ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary