18 results
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... relapsing fever caused ... The table below ... treated in a single dose ... microscopy #pathology #clinical
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Repeat 12-milligram dose ... Treat underlying cause ... Treat underlying cause ... management #cardiology #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... therapies in 24h) Does ... cardioversion Stable ... of reversible causes ... #Tachycardia #Algorithm
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... Diagnosis (Clinical ... Exclude other AKI causes ... Classification: ... Vasoconstrictor response does
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... use of adequate doses ... with previously stable ... 109 mm Hg) with clinical ... Causes: • Vascular
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... Non-compressive Spinal Cord Causes ... - Bacterial: Borrelia ... differential #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Does the patient ... Does the patient ... event, follow ACC algorithm ... Change in clinical ... Stable patients
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... adjusting the dose ... the determined cause ... #differential #algorithm ... cardiology #treatment #table
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... broad category and does ... identifies 85 to 95% of cases ... (Cornelia NEJM