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neurology physicalexam clinical video ophthalmology diagnosis nystagmus management differential cardiology gravis myasthenia causes cnvi hfref opsoclonus syndrome abducens cn6 gdmt
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 •
NSAID vs ACEI/ARB effects on the Kidneys Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAID vs ACEI/ARB ... that NSAIDs and ACEI ... ACEI/ARB's are often ... ACEIARB #Effects #Nephrology
Physical exam findings of various ocular palsies; image courtesy of the BMJ R 3rd nerve palsy R 4th
findings of various ocular ... nerve palsy #Ocular ... CNIII #CNIV #CNVI #Neurology
Drug Induced Kidney Injury • Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy • Osmotic
: NSAIDS, CNI, ACEI ... diagnosis #algorithm #nephrology
Pendular Nystagmus on Ocular Exam Pendular nystagmus seen in this patient with multiple sclerosis #Pendular #Nystagmus #Ocular #PhysicalExam
Pendular Nystagmus on Ocular ... Pendular #Nystagmus #Ocular ... multiple #sclerosis #neurology
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 Horizontal Nystagmus on Ocular Examination Dr Prasad Jain @DrPrasadJain #Horizontal #Nystagmus #Ocular #PhysicalExam #clinical #video #neurology #ophthalmology
Horizontal Nystagmus on Ocular ... Horizontal #Nystagmus #Ocular ... clinical #video #neurology
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 Blurry vision in a patient with HIV/AIDS Anterior Segment: • Herpes zoster ophthalmicus • Keratitis (HSV, Staph,
retinitis* • Ocular ... retinal necrosis (ARN
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