33 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... DANGER (4) Vfib ... Irregular (1) A fib ... AV block 1º - long
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
patients with chronic lung ... useful when A-fib ... thyrotoxicosis • Long-term ... independent of A-fib ... #Fibrillation #AFib
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
• Non-contrast CT ... +/- TEE (high Afib ... v Holter (r/o Afib ... Defined if 1) CT
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
EKG: afib, twi I ... Resolution: CT surgery
VFib Arrest on POCUS Echocardiogram

67yo male arrives unresponsive and pulseless after 20min continuous prehospital CPR. 

#VFib
VFib Arrest on POCUS ... continuous prehospital CPR ... #VFib #Arrest #Cardiac
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... densities iin the left lung ... On the CT cavitation ... cavitation in the right lung ... Clinical #Radiology #CXR
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Necrosis of lung ... Blood cultures • CXR ... early disease) • CXR ... seen • Chest CT
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
Congenital Long ... (Torsades) or vFib ... seizures and consider long ... post-arrest or very long
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Blood and sputum cx ... Bacterial, Fungal, AFB