38 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... in relation to ECG ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
anterior wall MI ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... polyneuropathy (e.g ... Guillain-Barré syndrome ... #differential #diagnosis ... #table #neurology
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
Polyuria - Differential ... Diagnosis Algorithm ... obstruction • Partial ... #Algorithm #causes ... #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... concentration (e.g ... Recovery from Acute ... #Nephrology #Differential ... #Causes
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential Diagnosis ... diuresis (see Polyuria ... scheme) e.g., mannitol ... Hypernatremia #Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... #nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Causes of Polyuria ... - Differential Diagnosis ... SGLT2 inhibitors (e.g ... #Differential #Diagnosis ... #Causes #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... - Differential Diagnosis ... vasoconstriction (e.g ... AIN) • Drugs (e.g ... #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... oliguria • Classic triad ... • UA: sterile pyuria ... AIN #Algorithm #nephrology ... #diagnosis