43 results
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
transient Gl upset (nausea ... cross-titration need to wait ... Paroxetine: Weight gain ... Initiation #depression #psychiatry ... #treatment #management
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
B1 (Thiamine) Deficiency ... Diagnosis and Management ... dysfunction (e.g. gait ... • Nutritional deficiency ... #Diagnosis #Management
Causes of Falls in the Elderly - Differential Diagnosis Algorithm
- Intrinsic Factors - 
Presyncope / Syncope
Causes of Falls ... Neurological / Psychiatric ... Decreased Balance • Gait ... Diagnosis #Algorithm #Causes
Osteomalacia & Osteoporosis in People with HIV
Osteomalacia:
 - Decreased bone matrix mineralization. In people with HIV
wasting, vitamin D deficiency ... (from multiple causes ... weakness, waddling gait ... of underlying cause ... mild-mod vitamin D deficiency
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Diarrhea, Insomnia, Nausea ... Dysfunction, Weight gain ... Incr NE: Nausea ... #SideEffects #Psychiatry
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
urinalysis, labs - Management ... underlying volume deficiency ... renal biopsy - Management ... treating underlying cause ... ultrasonography - Manaqement
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Iron Deficiency ... → Inflammation causes ... endpoint of all-cause ... alissa_shega #iron #deficiency ... heartfailure #diagnosis #management
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
diagnosis and management ... Causes of localized ... dyskinesia, A1AT deficiency ... Bronchiectasis #diagnosis #management
Anticonvulsants as Mood Stabilizers: Mechanism and Side-effect
Examples: Valproate, Carbamazepine, Lamotrigine
 • Mild anticholinergic effect -> Drowsiness
Systemic effect -> Nausea ... pruritus, weight gain ... Pathophysiology #Psychiatry
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... • Vitamin C deficiency ... Pernicious anemia/B12 deficiency ... ) - Waddling gait ... Phosphatase: • Other causes