30 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... disease or CHF) ... #management #cardiology ... #algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... for alternate diagnoses ... ventilated • CXR, Lung ... doppler, CTA • ECG ... #treatment #pulmonary
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... bronchiectasis, CF ... #Tram #Track #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... AMS, SOB from CHF ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... 1 — Treat the lungs ... Revascularization, treatment ... #Checklist #CHF ... #Management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... Transthoracic echocardiogram ... m/s • Other signs ... pressure < 15mmHg TREATMENT ... #management #hepatology