12 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... 3 different P wave ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #EKG #Management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
syndromes (e.g. ... , long QT syndrome ... 300 = NSVT EKG ... capture of the atria ... more intensive treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Myocarditis, Arrhythmia ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... flutter, or atrial ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
recent DAN) • EMG ... blood retum in serial ... crescentic GN by Nick ... differential #diagnosis #management ... #treatment
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
labile BP and arrythmias ... Electrodiagnostic studies - EMG ... Treatment: • Plasmapheresis ... #diagnosis #management ... #treatment #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... head syndrome” ... Serologic and EMG ... stimulation - Single fiber ... Gravis #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... , bradycardia, arrhythmias ... - ↓ Effective arterial ... bradycardia → sine wave ... dose PRN (ongoing arrhythmia
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... treatment Pathophysiology ... Prednisone 5mg/kg ... Imaging: CXR- pulmonary ... APML #diagnosis #management