20 results
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... Digoxin is a cardiac ... and atrial flutter ... Electrocardiogram #EKG ... #ECG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... flutter, ectopic ... Control rate (e.g ... Control rate (e.g ... #algorithm
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR ... , PT. aPTT • Serial
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
inflammation (e.g ... pancreatitis) - Arterial ... Thrombus / Embolism: Cardiac ... hypovolemia), Meds/Treatments ... #Diagnosis #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... more intensive treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Blood cultures • CXR ... early disease) • CXR ... Lung Abscess Differential ... • Vasculitis (e.g ... Abscess #pulmonary #differential
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Arrest Algorithm ... recommendation (eg ... Reversible Causes ... cardiacarrest #Algorithm
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... arrest, start CPR ... require prolonged treatment ... alternate vasopressor (e.g ... as patient is stable