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Central line myth #2: location, location, location 

By far the best data we have to guide
Central line myth ... randomized to get the central ... A contra-indication ... #EBM #RCT #Central ... Sites #Infections #Selection
Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by
Central Venous Catheter ... site selection ... #CriticalCare #Central ... Catheters #CVC #Lines ... Sites #Infections #Selection
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
Indications: Rate control ... Heart failure (2nd line ... sinus tach (2nd line ... Heart failure (1st line ... Pharmacology #Comparison #Table
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
• Muehrcke's Lines ... Melanoma • Terry's Lines ... Nail Pitting • Central ... dermatology #nails #table ... #lines
Nail Findings & Associated Conditions
Change in color, texture, or shape can be harmless, but may suggest
• Muehrcke's Lines ... Melanoma • Terry's Lines ... Nail Pitting • Central ... dermatology #nails #table ... #lines
Causes of Developmental Delay - Differential Diagnosis Algorithm
Isolated Domain Delay - Reduced Respiratory Drive:
 • Cognitive
Cognitive Impairment (Mental ... Landau-Kleffner Syndrome • Selective ... Mechanical (e.g. dental ... Algorithm #Causes #Peds
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... on an object (like ... #physicalexam #Central ... bppv #comparison #table
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
Check the fat pads ... A line traced along ... Draw the RC line ... along the long central ... Xrays #Radiology #peds
This chart shows the patterns of height (length) and weight for boys from 2 to 20
set of curved lines ... the top curved line ... heights in the upper section ... weights in the lower section ... #Diagnosis #Peds
PDE5 inhibitors are usually the drugs of first choice for erectile dysfunction.

PDE5 inhibitors enhance an erection that is
inhibitors enhance an erection ... stimulation and mental ... dosing #drugs #table