58 results
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... prolonged PR and QT ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
cellulitis, as clinical ... response (e.g. ... source control (e.g ... (e.g. venous stasis ... #EBM #ID #Management
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
Coverage of common antibiotics ... prior resistance. e.g ... ESBL, KPC, VRE. etc ... ampicillin #management ... pharmacology #table
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... S - Shock H - Hyperkalemia ... Typical ECG ... DrEricStrong #BRASH #Syndrome ... #diagnosis #management
Short QT Syndrome
Short QT syndrome (SQTS) is a very rare, recently described syndrome in which an
Short QT Syndrome ... patients with SQTS Hypercalcemia ... #Syndrome #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... #Management #CriticalCare
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... - IDSA Guidelines ... 1) Antibiotics ... Echinocandins (e.g ... or TEE unless clinical
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... Guillain-Barré syndrome ... #differential #diagnosis ... #table #neurology
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Did they receive antibiotics ... Eg: C. burnetii ... Mycobacterial etc ... BloodCultures #Diagnosis ... #Management #Algorithm
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... course • Adjust antibiotics ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis