1949 results
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... movements seen as DBN ... Hence DBN is a great ... @bobvarkey #DBN ... #PhysicalExam #
Downbeat nystagmus induced by carbamazepine

Gary Álvarez.•. @garinho29

#nystagmus #Downbeat #vertical #carbamazepine #Eye #ocular #PhysicalExam #Clinical #Video
Downbeat nystagmus ... #nystagmus #Downbeat ... #Eye #ocular #PhysicalExam
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... Examination Primary downbeat ... @bobvarkey #Downbeat ... clinical #video #physicalexam
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