19 results
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
(EKG) Digoxin ... Digoxin effect on ECG ... waves - Short QT ... #EKG #Cardiology ... #Digitalis #ECG
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... speech abnormality, etc ... Postictal state #Algorithm ... #management #Neurology
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
repolarization causes ... prolonged PR and QT ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
side effect (e.g ... Syncope Mimics - Seizure ... side effect (e.g ... Classification #Table ... #Causes
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Sleep Deprivation (Eg ... Disorders • Neurologic ... Disorders (Eg. ... (Eg. ... • Drug Abuse (Eg
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Pointes - Management Algorithm ... Drugs that prolong QT ... Congenital long QT ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... of information (e.g ... duration), Several medications ... for alternative causes ... vascular disorder (e.g
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Remote Symptomatic Cause ... Remote Symptomatic Cause ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... succinylcholine REFRACTORY MEDICATION ... Convulsive #management #neurology ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Alternative medications ... infusion of 2 mcg ... maximum of 24 mcg ... #Management #neurology ... pediatrics #peds #algorithm