14 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Management #Seizure #Algorithm ... #CriticalCare #Neurology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
heart disease • Decompensated ... HF • New ischemia ... Cardiology #Management #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Myocardial Infarction, Decompensated ... CHF, Severe Valve ... #criticalcare #algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... anemia) • G-CSF ... Differential #Diagnosis #Algorithm ... #nephrology #low
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
HYPERVOLEMIC • CHF ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... underlying cause (CHF ... Differential #Diagnosis #Algorithm ... #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Reduced GFR, AKI/CRF ... #Hyponatremia #Nephrology ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Reduced GFR, AKI/CRF ... #Hyponatremia #Nephrology ... Differential #Diagnosis #Algorithm
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
desmopressin MH/CCF ... /CWRU EM Res @MetroHealth_EM ... rate #management #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
recognize Acute Decompensated ... #differential #algorithm ... #heartfailure #chf