53 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
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
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
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
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... Relevant drug levels (e.g ... rigidity) Consider EEG ... #CriticalCare # ... Diagnosis
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