13 results
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Heart Failure, Valvular ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... #criticalcare #algorithm ... #treatment #management
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Complications • Avascular ... dislocation • ED Management ... x-rays MH/CCF ... Wrist #Carpal #Radiology ... XRay #Diagnosis #Management
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
syndrome • ED Management ... II-IV, pending orthopedic ... recommendations MH/CCF ... Elbow #Humerus #Radiology ... #Orthopedics #MSK
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
fracture • ED Management ... II-IV, pending orthopedic ... recommendations MH/CCF ... Fracture #Elbow #Radiology ... #Orthopedics #MSK
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
0.25), murmur of valvular ... endomyocardial biopsy Pharmacology ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... - Peripheral vascular ... Intraabdominal - Orthopedic ... one post op Cardiology
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
dislocation, due to EDS ... tendon) • ED Management ... Discharge with orthopedic ... 1 week MH/CCF ... #Hand #Orthopedics