23 results
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... infarction/PE, CHF ... NonResolving #Pneumonia #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
lung disease (COPD ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Hx of asthma, CF ... Fungal, parasites; Travel ... Lung #Diseases #pulmonary ... #differential #diagnosis ... #comparison #table
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 - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Decompensated CHF ... • Obstructive: Pulmonary ... > 0.5 cc/kg/hr ... algorithm #treatment #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Limb ischemia Pulmonary ... friction rub, Fever ... , asthma, CF, PCP
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Acute: Trauma, COPD ... decompensated CHF ... poisoning, DKA, Fever
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: Age>60, CKD, CHF ... elevated BNP, high CVP ... , and CXR with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... pts with severe COPD ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... Fulminant: - Acute HF ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology