45 results
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
therapies in 24h) Does ... cardioversion Stable ... of reversible causes ... VT • Normal QTc ... • Long QTc (Torsades
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... polyneuropathy (e.g ... #differential # ... diagnosis #table ... #neurology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Repeat 12-milligram dose ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
Acidosis (HAGMA) - Differential ... L-lactate - produced during ... anti-freeze, varnish, etc ... salicylate toxicity causes ... GOLDMARK #mnemonic #nephrology
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
IV Mg infusion (e.g ... Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... High altitude (eg ... HYPOVENTILATION • Rising ... septal defects) • Does ... Failure #hypoxia #Differential
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
withdrawal can be caused ... begin initiation during ... withdrawal symptoms: e.g ... 2) START LOW DOSE ... Prescribing #Addiction #Management
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Emergency Department Does ... additional symptoms (eg ... speech abnormality, etc ... Diagnosis #Seizure #management ... #Neurology
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm
Action Tremor - Occurs During Voluntary Muscle
Causes of Tremors ... Movement Disorders - Differential ... Tremor - Occurs During ... Cerebellar Disease (e.g ... #Differential #
Postpartum Hemorrhage - Differential Diagnosis, Examination and Management

Uterotonic Medications (after delivery of the placenta):
 • Oxytocin
Postpartum Hemorrhage - Differential ... Examination and Management ... • Oxytocin (causes ... Methylergonovine (causes ... up to 2 mg (8 doses