292 results
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Must Be On" • ACEI ... , ARB, or ARNI AND ... before increasing ACEI ... Reducing: • ACEI ... or ARB • ARNI
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
AngiotensinReceptorNeprilysinInhibitor #ACEi ... angiotensinreceptorblockers #ARB #ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy - Initiation Strategies

 •
Stepwise Approach: ACE ... , ARB, ARNI → Beta-Blocker ... -2 Inhibitor → ARNI
Heart Failure with Reduced Ejection Fraction (HFrEF) - Guideline Directed Medical Therapy
 • Beta-blocker
 • ACE,
Beta-blocker • ACE ... , ARB, ARNI
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
thiazide-like • ACE-I ... Combined: • ACE-I ... ARB + CCB • ACE-I ... Coronary Syndrome ... • Acute Kidney
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
4 vestibular syndromes ... Traumatic/toxic acute ... vestibular syndrome ... - Spontaneous acute ... #diagnosis #acute
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome:
 - Acute poststreptococcal 
glomerulonephritis 
 - Rapidly progressive
and Nephrotic Syndromes ... Nephritic syndrome ... : - Acute poststreptococcal ... Nephrotic syndrome ... Nephritic #Nephrotic #Syndromes
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
Acute Mountain Sickness ... fluids, analgesia, ani ... Mountain #Sickness #Acute
Acute Pharyngitis: Differential Diagnosis
Infectious:
 • Respiratory viruses (25-45%)
 • Group A Strep (5-15%)
 • Other bacteria:
Acute Pharyngitis ... tularemia • STDs: Acute ... Retroviral Syndrome ... Diffuse viral syndromes ... #Acute #Pharyngitis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 • Due to true volume loss or decreased
Acute Kidney Injury ... Drugs: NSAIDs, ACEI ... interstitium • ATN (Acute ... dye) • AIN (acute ... LouLectures #Acute