21 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
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
a patient with Atrial ... nice to have ur finger ... Regurgitation #Atrial ... #Fibrillation #Neck ... #JVP #Clinical
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... - Distended neck ... Tamponade - Pulmonary ... crackles, elevated JVP ... #criticalcare #treatment
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... heart function (JVD ... thromboembolic material ... Bypass Other Treatment ... Thromboendarterectomy #diagnosis #management
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 ... #diagnosis #management ... #treatment
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... Hyperdefecation • Anterior neck ... ↑ AST/ALT • Treatment ... Ophthalmoplegia • Atrial ... causes #diagnosis #differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... life-threatening Differential ... Serologic and EMG ... stimulation - Single fiber ... Gravis #diagnosis #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... fraction < 20% Differential ... hepatitis • Pulmonary ... Disease #diagnosis #management ... #treatment #rheumatology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
treatment Pathophysiology ... Prednisone 5mg/kg ... Imaging: CXR- pulmonary ... initiation • Differential ... APML #diagnosis #management