18 results
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial ... Mobile #LA #TEE #Echocardiogram
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 ... workup #diagnosis #nephrology
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 ... 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
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
abnormalities (eg ... deficiency The classic triad ... diagnosis #criteria #neurology
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
additional symptoms (eg ... - Duration - Partial ... Seizure #management #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
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
severe and/or more gradual ... liver disease (e.g ... diagnosis #HRS #nephrology
Palpitations - Differential Diagnosis Framework

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

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
upper AND lower facial ... : viral, Lyme, facial ... presentation • Lyme Serology ... inflammatory cause) • EMG ... Management #Treatment #Neurology