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differential anesthesia anesthesiology intraoperative workup criticalcare treatment cardiac clinical electrocardiogram endocarditis syncope algorithm bradycardia cardiomyopathy chf ctchest heartfailure interpretation neurology
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... P • ↑ Ca - short ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
TEE) • Chest CT ... if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- EKG & echocardiography ... 1 — Treat the lungs ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Cardiac Event Monitoring Devices - Compared Ambulatory ECG (Hotter): • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... Devices #Comparison #cardiology ... #management #holter
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... be detected on CT ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Pads in AP position ... Connect ECG Leads ... #cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
ventricular arrythmias Diagnostics ... : EKG ($), ECHO ... SPECT ($$$), PET CT ... Stress #Testing #cardiology ... #management #diagnosis
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
500 DANGER - Short ... 360 ms: ↑ca - Long ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
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