22 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... exercise intolerance, chest ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... #Management #Algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... Mediastinal Causes: - Vascular ... Embolism (chest ... ChestPain #Noncardiac #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... to chronic lung disease ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology
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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Disease Coronary ... Artery Disease ... • Stable Angina ... Arrhythmia • Atrial ... Thickening/Masses Chest
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
Even with macular ... disease, may consider ... Ever Arias, ... #Pharmacology #Table ... #Management
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome, Muscular ... Weakness, Loss of Chest ... Elasticity (flail chest ... Left Shunt - Anatomic ... Gradient #alveolar #arterial
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... abnormalities • Muscular ... hepatitis • Pulmonary ... #diagnosis #management ... #treatment #rheumatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
intrapulmonary vascular ... defect (Type 1) or anatomic ... cycles after right atrial ... vascular dilation ... #treatment #hepatology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... AFib #diagnosis #management ... #cardiology