28 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
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
(JVP, edema), Lung ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram ... #Management #treatment
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... ventilated • CXR ... , Lung US, Echo, ... doppler, CTA • ECG ... #treatment #pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... #Abscess #pulmonary ... #treatment #diagnosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... periphery of the lung ... may aid in the diagnosis ... of pulmonary embolism ... #photo #CXR #EmergencyMedicine
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 ... acute HF → no signs ... #management #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology
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
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... pocus #clinical #cardiology