41 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... fibrillation Clinical ... Osborn #JWave #Diagnosis ... Differential #Cardiology #EKG ... #ECG #Hypothermia
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
This EKG was recorded ... #EKG #EmergencyMedicine ... #CriticalCare # ... Electrocardiogram #ECG ... #Clinical
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
Infiltrative disorders (e.g ... in kidneys) - Medications ... (e.g. lithium, ... renal diseases (e.g ... #Table #Causes
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
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... context & EKG) ... #Management #CriticalCare
Managing side effects of birth control

Adverse effects associated with hormonal contraceptives (e.g. headache, breakthrough bleeding, etc)
contraceptives (e.g ... continuous use (e.g ... changing the COC (e.g ... #management #medications ... #obgyn #table #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #Management #CriticalCare
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
, changes on ECG ... algorithm for the management ... , and Table 3 summarizes ... medications used ... #Management #Medications
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Etiology: • Medications ... heparinized tube) • ECG ... Elimination (see Table ... #Diagnosis #Management