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ECG Pointers: Mitral Annular Disjunction

Lloyd Tannenbaum covers a subset of mitral valve prolapse (MVP) that puts patients at high risk for arrhythmias and sudden cardiac death.

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    Articles

    • electrocardiography

    ECG Pointers: Mitral Annular Disjunction

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    Lloyd Tannenbaum covers a subset of mitral valve prolapse (MVP) that puts patients at high risk for arrhythmias and sudden cardiac death.
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    EM@3AM: Suppurative Labyrinthitis

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    A 58-year-old male presents with 1 day of severe vertigo associated with nausea and vomiting, tinnitus, and sudden-onset hearing loss. He reports several days of left-sided ear pain and discharge from his left ear. Vital signs reveal T 38.9C, HR 120, BP 138/96, RR 18, SpO2 99% on room air.
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    • In the Literature

    Journal Feed Weekly Wrap-Up

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    Journal Feed covers compression location, DOACs versus warfarin for AFib, and modified valsalva in pediatric SVT.
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    • electrocardiography

    ECG Pointers: When should you cardiovert atrial fibrillation?

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    When should you electrically cardiovert the patient with atrial fibrillation and rapid ventricular response?
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    emDOCs Podcast – Episode 137: Acute Mastoiditis

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    We cover acute mastoiditis in today\'s podcast.
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    EM@3AM: Alpha-2 Agonist Toxidromes

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    A 42-year-old male with a past medical history of substance use presents to the ED for chest pain, shortness of breath, nausea, and vomiting. He reported snorting fentanyl two days ago and has a remote history of IV drug use. Vital signs include 98.8°F, HR 150, RR 23, SpO2 98%
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    Anatomic urinary obstruction in septic shock

    Occurs in 10% of those with septic shock due to urinary source

     

    Associated with 27% mortality

     

    Administer antibiotics, resuscitate, consult urology for source control

     

    PMID: 26905806

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