41 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... •Electrolyte disorders ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... - CBC with differential ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #Diagnosis
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Sleep Deprivation (Eg ... Shift Work) Sleep ... (Eg. ... • Medications (Eg ... • Drug Abuse (Eg
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Diagnosis GI losses ... (e.g. sarcoidosis ... - Medications (e.g ... renal diseases (e.g ... #Diagnosis #Table
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
Endemic Fungi (e.g ... - Zoonotic (e.g ... Returning travelers (e.g ... Immunologic disorders ... #pulmonary #differential
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... hemorrhage) - Pulmonary ... pathology (e.g. ... #Diagnosis #Table
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
CNS depression (e.g ... Neuromuscular disorders ... (e.g., GBS, MG, ... wall compliance (e.g ... #Diagnosis #Management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... hyponatremia, AKI, etc ... will also get an EKG ... #Pearls #Checklist ... #diagnosis #workup
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- Differential ... Diagnosis and Workup ... function test, ANA (e.g ... #Differential # ... Diagnosis #Causes