19 results
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... Transesophageal #Ultrasound
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... obstruction: • Trial ... #nephrology
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... - Duration - Partial ... #Algorithm #Diagnosis ... Seizure #management #Neurology
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Deficiency Clinical Diagnosis ... abnormalities (eg ... deficiency The classic triad ... B1 #Deficiency #diagnosis ... #criteria #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... stroke #workup #diagnosis ... #checklist #neurology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
- Stiffness in axial ... unit activity on EMG ... of diazepam • EMG ... TPO, TTG, etc EMG ... Management #treatment #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
brainstem syndromes (e.g ... disturbances, facial ... AQP4-lgG disease; e.g ... Manifestations #diagnosis ... #neurology #symptoms
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome Diagnosis ... severe and/or more gradual ... liver disease (e.g ... Hepatorenal #Syndrome #diagnosis ... #HRS #nephrology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... /Afib/WPW) • Loss
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Bell's Palsy - Diagnosis ... , Sjogrens Diagnosis ... inflammatory cause) • EMG ... #Bells #Palsy #Diagnosis ... Management #Treatment #Neurology