17 results
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Medications/Toxins: • ETOH ... Tobacco • Recent withdrawal ... Psychiatric: • Panic disorder ... associated with anxiety ... #Palpitations #Cardiology
Alcohol Use Disorder: Pathogenesis and Clinical Findings

 • Tolerance (reduced sensitivity to effects of EtOH)
 •
Alcohol Use Disorder ... to effects of EtOH ... exacerbated by EtOH ... • Withdrawal ... , seizure, and anxiety
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
Alcohol Withdrawal ... Timeline Minor withdrawal ... Tremulousness, mild anxiety ... BrighamChiefs #Alcohol #Withdrawal ... #Timeline #etoh
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
THERAPEUTIC DRUG WITHDRAWAL ... • METABOLIC DISORDER ... PSYCHIATRIC • ANXIETY ... DISORDER • SOMATISATION ... Differential #Diagnosis #Cardiology
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
1st episode - EtOH ... withdrawal ("holiday ... PIRATES #Emergency #Cardiology
Sinus Tachycardia - Differential Diagnosis Framework
Autonomic System:
 • Excess Stimulation: Nicotine, Caffeine, Sympathomimetics, Anticholinergics
 • Withdrawal:
Anticholinergics • Withdrawal ... : Fever, Pain, Anxiety ... Differential #Diagnosis #cardiology
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
algorithm for alcohol withdrawal ... addition to alcohol withdrawal ... the underlying disorder ... Management #Alcohol #EtOH ... #Withdrawal #Phenobarbital
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Psych: Depression, anxiety ... statin, chemo), EtOH ... Polyneuropathy, ALS), NMJ disorder
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Alcohol) • Drug Withdrawal ... Psychogenic • Anxiety ... • Somatization Disorder
Alcohol Withdrawal Timeline

Stage 1 (8 hours) : Anxiety, insomnia, nausea, & abdominal pain
Stage 2 (1-3 days):
Alcohol Withdrawal ... 1 (8 hours) : Anxiety ... agitation #Alcohol #Withdrawal ... diagnosis #stages #etoh