10 results
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Approach to Elevated ... Gas) (-) Likely Metabolic ... Contraction Urine Cl ... #metabolic #alkalosis ... #algorithm #diagnosis
A good approach when dealing with hypotension at the bedside includes using the following systematic four
examination and ultrasound ... Vascular Resistance #Diagnosis ... #Management #EM ... #IM #PCC #Hypotensive ... Hypotension #Approach #Algorithm
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... e.g., markedly elevated ... May consider metabolic ... Pancreatitis #Checklist #Diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • Metabolic ... (Mannitol) • Elevated ... disequilibrium syndrome • Diagnosis ... irrigation • Management ... Inhibitors of Na+K+2Cl
Neurosyphilis - Treponema pallidum - Diagnosis Algorithm
Lumbar Puncture Indications:
 • Neuro / Ocular symptoms
 • HIV
Algorithm Lumbar ... Pleocytosis 3) Elevated ... Treatment: IV PCN ... #Algorithm #Lumbar ... #puncture #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... importantly, bedside ultrasound ... Troponin may be elevated ... establishing a diagnosis ... #algorithm #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ADLs - Highest metabolic ... event, follow ACC algorithm ... since elective PCI ... medical and surgical management ... stratification #diagnosis
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome - Diagnosis ... Hypomagnesemia - Metabolic ... Alkalosis - Elevated ... Fractional excretion of Cl ... - Normal Renal Ultrasound
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which drastically elevates ... The metabolism of ... #diagnosis #differential ... #algorithm #management
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
mucosa Stricture Management ... duct • BILIARY METALLIC ... STENTS - Flexible metallic ... • ENDOSCOPIC ULTRASOUND ... visualize ampulla; elevator