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Algorithm for the Treatment of Severe Hypoglycemia

Step #1:  IV dextrose bolus

Step #2:  food (if
bolus Step #2:
Calcifications Around the Heart on Chest XRay
Case #1: This appearance is typical of pericardial calcification &
Case #2: The "tubular
Central line myth #2: location, location, location 

By far the best data we have to guide
Central line myth #2:
Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX 
2. Zoom to
Obtain PLAX 2. ... Obtain A5c view 2. ... x π (LVOT Diam/2) ... 2 SV = LVOT VTI ... 2 - Dr.
REBEL Review 100: Canadian Syncope Risk Score 

Predisposition to Vasovagal Symptoms (-1)
History of Heart Disease (1)
Any
or >180 mmHg (2) ... 99% of Normal) (2) ... Interval > 480 ms (2) ... Vasovagal Syncope (-2) ... Cardiac Syncope (2)
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
syndrome Types 1, 2 ... as type 1, type 2 ... In type 2 and type ... difference between type 2 ... elevation in type 2
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Serum lactate >2 ... as positive if 2 ... C or < 36 C 2. ... as positive if 2 ... > 22 qSOFA > 2
Adrenergic Receptors - Agonists and Antagonists
 • Alpha-1 Vascular
 • Alpha-2 Presynaptic
 • Beta-1 Heart
 •
Vascular • Alpha-2 ... Heart • Beta-2
Immune Reactions and Immunosuppressant Drugs

Glucocorticoids - Inhibition of cytokine synthesis, e.g., IL-1, IL-2
Muromonab-CD3 - Monoclonal antibody
Calcineurin
e.g., IL-1, IL-2 ... synthesis - IL-2 ... Basiliximab - IL-2 ... Suppression of IL-2
McDonald Criteria for Diagnosis of Multiple Sclerosis
 • 2 or more attacks, 2 or more lesions
Sclerosis • 2 ... more attacks, 2 ... will suffice • 2 ... • 1 attack, 2 ... ) AND at least 2