6 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
hemorrhage and other mimics ... suspicion) • +/- bubble ... #stroke #workup ... #diagnosis #checklist ... #neurology
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
in the distal tubule ... H+ secretion → Hypokalemia ... Contraction → ↑ Renin ↑ Ca ... Pathophysiology #nephrology ... #diagnosis
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... diuretic use), Gitelman's ... syndrome (mimics ... exercise, Heat stroke ... #diagnosis #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... only if no clear cause ... Calcium 2-3g IV Ca-gluconate ... Treatment #potassium #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
Entering VA was ... An APD was noted ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology
Differential Diagnosis: New-Onset Seizure in the Elderly

STRUCTURAL:
 • Stroke/TIA, Subdural hematoma, mass
 • Traumatic Brain Injury
Differential Diagnosis ... STRUCTURAL: • Stroke ... Seizure Mimics: ... cardiovascular causes ... Seizure #Elderly #Neurology