21 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) ... • Hypoxia • Pulmonary ... #Diagnosis #ECG ... #EKG #Management
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... • Carbapenem (e.g ... #Pulmonary #Clinical ... #CXR #ChestXRay
Causes of Hemoptysis - Differential Diagnosis Algorithm
Massive Hemoptysis (>I00 mL in 24 hours)
 • Malignancy
 •
Diagnosis Algorithm ... Bronchiectasis • Abscess ... Malformation Normal CXR ... /CT • Hematemesis ... Abnormalities • CHF
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
ventilated • CXR ... , Lung US, Echo, ... doppler, CTA • ECG ... #Exacerbation #treatment ... #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Extrinsic compression (e.g ... atelectasis • Lung ... CNS depression (e.g ... wall compliance (e.g ... Hypoxemia #Hypoxia #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... seen • Chest CT ... Abscess Differential ... • Vasculitis (e.g ... #Abscess #pulmonary
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
- Congenital (e.g ... HHT), Acquired (e.g ... Vasodilation Lung ... Disease - Especially COPD ... #HeartFailure #CHF
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
Septic Embolism (e.g ... Fat Embolism (e.g ... . fractured long ... Mycotic Aneurysm (e.g ... blood vessels • Abscess
Lung Nodule - Differential Diagnosis Algorithm
Nodule on > 2 Years Without a Change in Size:
 •
Lung Nodule - Differential ... Benign Neoplasm (eg ... Granuloma • Abscess ... cannonball lesions"; Eg ... #Causes #Pulmonary
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... #algorithm