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Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... • Brushfield spots ... iris (pigmented spots ... incurved fifth finger ... #Downs #Syndrome
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... 1) Finger agnosia ... name their own fingers ... - Inability to differentiate ... neudrawlogy #Gerstmann #Syndrome
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Wide (1) VT - DANGER ... B Afib + WPW - DANGER ... Vfib/flutter - DANGER ... (2) Sick Sinus Syndrome ... electrocardiogram #cardiology #differential
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Channelopathies: Long/short ... QT syndromes, Brugada ... Acquired long QT syndrome ... disorders • WPW syndrome ... Arrest #cardiology #differential
Causes of Pediatric Diarrhea - Differential Diagnosis Algorithm
Infectious:
 • Viral
 • Bacterial
 • Parasitic
Malabsorption:
 • Lactase
Pediatric Diarrhea - Differential ... Overfeeding • Short ... Bowel Syndrome ... Irritable Bowel Syndrome ... #Diarrhea #Differential
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
Short Stature - ... Differential Diagnosis ... 21 • Noonan Syndrome ... • Turner Syndrome ... #ShortStature #Differential
Fine Ventricular Fibrillation on POCUS Echocardiogram (S4C) with Saline Contrast
POCUS may help you to spot fine
Fine Ventricular ... Fibrillation on POCUS ... Saline Contrast POCUS ... may help you to spot ... fine VF quicker
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Hypokalemia - Differential ... K-ATPase which imports ... - Refeeding Syndrome ... #Hypokalemia #Differential
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... tumor, Miller-Fisher ... syndrome, Multiple ... mass #Diplopia #differential
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... well-localized, dull, longer ... regional pain syndrome ... Mechanisms #Neurology #Differential