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Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Overview Symptoms ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial ... #Fibrillation #Cardiology
Clues to Differential Diagnosis of Central Cyanosis: Onset of cyanosis, Clubbing, Secondary erythrocytosis, Auscultation, X-ray, Echocardiography,
Echocardiography, Arterial ... heart defect - Pulmonary ... diseases - Pulmonary ... Diagnosis #Central #Cardiology ... Causes #Table #Comparison
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on ... drdevrad #Garland #Triad ... #Chest #XRay #CXR ... Sign #clinical #radiology ... #pulmonary #sarcoidosis
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries
Takayasu's arteritis:
 - Onset < 40 yrs
 -
claudication - Arterial ... yrs - Cranial symptoms ... sinusitis - pulmonary ... osteosclerosis) - Right atrial ... Differential #Diagnosis #Cardiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... arteries, Venous or arterial ... duplicated SVC) • Pulmonary ... Pericardial effusion • CXR ... #radiology
Differentiating Features Between Central and Peripheral Cyanosis

Mechanism - Arterial destauration
Sites - Skin, mucous membrane of oral
Mechanism - Arterial ... Oxygen therapy - Pulmonary ... Cyanosis worsens Arterial ... Central #Peripheral #Comparison ... #Signs #Symptoms
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... symptoms + supporting ... common finding) • Atrial ... also a result of atrial ... AcutePE #diagnosis #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... A-Fib) Summary Symptoms ... Noncardiac: • Pulmonary ... possibly better: • Symptom ... diagnosis #management #cardiology
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
Echocardiography Pulmonary ... PADP-PCWP > 7 mmHg Pulmonary ... Echocardiogram #comparison ... #diagnosis #cardiology ... #pulmonary #arterial
On a chest film only the outer contours of the heart are seen.
In many cases we
blood from the pulmonary ... . - Left atrial ... just below the pulmonary ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle