43 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... have elevated JVP ... the underlying diagnosis ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... EKG of the same ... are enough to diagnose ... #PhysicalExam #JVP ... #Cardiology #Neck
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... potassium #high #diagnosis ... #treatment
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... , Volume Exam (JVP ... #Management #treatment
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
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Brady Management ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... Argon Plasma by Nick ... #Management #treatment ... #workup #pulmonary
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Hyperkalemia Typical ECG ... hyperkalemia) BRASH Treatment ... • Aggressive treatment ... BRASH #Syndrome #diagnosis ... #management #pathophysiology
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... Low dose 0.5 mg/kg ... RA thrombus Nick ... #AcutePE #Management