Downbeat dbn - GrepMed

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Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat

Downbeat Nystagmus ... Why downbeat nystagmus ... movements seen as DBN ... Hence DBN is a great ... @bobvarkey #DBN

Blood pressure management in acute ischemic stroke - Timeline
Candidate for tPA:
- Goal SBP <185 AND

Goal SBP <185 AND DBP ... Goal SBP <220 AND DBP

Blood Pressure Targets in Hypertensive Crisis

Timeline:
1 hour: ↓ MAP by 25%, Maintain DBP ≥ 100 mmHg
2-6

25%, Maintain DBP ... SBP 160 mmHg & DBP ... SBP <160 mmHg & DBP

Important Blood Pressure Targets in the ED
Subarachnoid Hemorrhage:
SBP < 140 -

TPA: SBP < 185, DBP ... TPA: SBP < 180, DBP ... If SBP >220 or DBP

Hypertensive Disorders of Pregnancy
Chronic Hypertension:
• Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
•

as SBP ≥130 or DBP ... , SBP ≥ 140 or DBP ... : SBP ≥ 140 or DBP ... or SBP ≥ 160 or DBP ... : SBP ≥ 160 or DBP

Feedback Loop: Growth Hormone (GH)
Growth Hormone:
• Liver -> GHR activates JAK-STAT pathway -> Incr IGF1

Incr fat mass, abn ... - metabolic abn

Heartburn Differential Diagnosis Algorithm

Dan Patel, MD @EsophagusDoc

#Heartburn #Differential #Diagnosis #Algorithm #gastroenterology

Diagnosis Algorithm Dan

Delirium: Top Tips

1. LOOK CAREFULLY FOR DELIRIUM
2. HARNESS THE POWER OF THE FAMILY
3. FIND/STOP

Dan Thomas @dan26wales

Classic ECG of acute pericarditis in a young patient with pleuritic chest pain and a viral

Dan Kim @dan___

Mean Arterial Pressure (MAP)

Average arterial pressure throughout one cardiac cycle, systole, and diastole.
Surrogate indicator of

) = DBP ... + 1/3(SBP – DBP ... ) or MAP = DBP ... MAP = SBP + 2 (DBP ... ) + DBP = 1/3 (82

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