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differential management cardiology causes algorithm criticalcare treatment acute atrial infectiousdiseases multifocal pain syndromes tachycardia acidosis aecopd aki amiodarone ards back
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... Secondary to chronic lung ... • Hypoxia • Pulmonary ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Lung Abscess Microbiology: • Polymicrobial • Anaerobes (most common) Clinical: • Indolent symptoms that evolve
Lung Abscess Microbiology ... • Carbapenem (e.g ... meropenem) #Lung ... #Abscess #Diagnosis ... #Pulmonary #Clinical
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
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause Injury ... ↑ ESR, CRP • EKG
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Abscess Diagnosis ... Vasculitis (e.g. ... #Abscess #pulmonary
Back Pain - Differential Diagnosis Primary Back Pathology: • Musculoligamentous injury (a.k.a. lumbosacral strain) • Spondylosis (i.e.
- Differential Diagnosis ... Musculoligamentous injury ... (most common: lung ... spondyloarthritis (e.g ... spondyloarthritis (e.g
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... to neurologic injury ... Intrapulmonary shunting (eg ... intracardiac shunting (eg
Lung Nodule - Differential Diagnosis Algorithm Nodule on > 2 Years Without a Change in Size: •
Diagnosis Algorithm ... Benign Neoplasm (eg ... Granuloma • Abscess ... cannonball lesions"; Eg ... Algorithm #Causes #Pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... Transfusion-related acute lung ... injury (TRALI) ... #differential #diagnosis
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