9 results
Loperamide and QT Prolongation #Clinical #EM #Cardiology #EKG #QT #Prolongation #QTProlongation #Loperamide #ALiEM
Prolongation #Clinical #EM ... #Cardiology #EKG ... QTProlongation #Loperamide #ALiEM
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
patients, consider: - BMP ... blood cultures - ECG ... antibodies #Diagnosis #EM ... Differential #Algorithm #Drugs
Borderline Personality Disorder: Pathogenesis and Clinical Findings
Behavioral Traits:
 • Unstable Relationships - Alternating extremes of idealization
self-damaging such as sex, drugs ... reactivity of mood (eg ... BPD Mnemonic: AM SUICIDE ... instability - Suicide ... Symptoms #Mnemonic #AMSUICIDE
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... (RV) infarcts #EM ... Cardiology #RightSided #EKG ... Lead #Placement #ALiEM
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
CNS -> PNS -> NMJ ... abscess • Toxic/drug ... nodosa) • Toxic/drug ... Hypoglycemia • Drugs ... electromyographic (EMG
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... Cardiology #Posterior #EKG ... Lead #Placement #ALiEM
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
weight loss - Low BMI ... < 18.5 kg/m2 ... alcohol abuse or drugs
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
275-295 mOsm/kg ... 0.0-10.0 mOsm/kg ... Ideal Body Weight BMI ... assessment required DRUGS ... *Check drug packet
Causes of Neutropenia - Differential Diagnosis
Neonate:
 - Infection - by far the most common cause
 -
hypertension and/or drug ... Constitutional disorders, eg ... replacing the BM ... Idiosyncratic drug ... Idiosyncratic drug