31 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... to chronic lung disease ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #EKG #Management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... high #diagnosis #management ... #algorithm #treatment
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... involving RV, Pulmonary ... Concomitant Pericardial Disease ... #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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
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
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Diagnosis and Management ... respiratory tract (e.g ... Argon Plasma by Nick ... #treatment #workup ... #pulmonary #criticalcare
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... aorta • Head and neck-limited ... Systemic (head and neck ... IgG4 #Related #Disease ... #diagnosis #management
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... cases; 50% in nec ... necrosis STSS Treatment ... BIDMC Infectious Diseases ... #management #diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... recent DAN) • EMG ... differential #diagnosis #management ... #treatment