21 results
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Diagnosis and Management ... dysfunction (e.g. gait ... upper limb) • Nutritional ... treatment can improve symptoms ... #Diagnosis #Management
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 ... Diagnosis #Signs #Symptoms
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... Hypo-Mg2+ • Vitamin deficiency ... overload) Other Symptoms ... • Vitamin D deficiency ... Refeeding #Syndrome #Nutrition
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
Scurvy (Vitamin C Deficiency ... Diagnosis and Management ... • Persons with psychiatric ... Psychiatric symptoms ... , or any other cause
Causes of Gait Disturbance - Differential Diagnosis Algorithm
Sporadic
 • Vascular
 • Infection
 • Toxic
 • Nutrition
Causes of Gait Disturbance ... • Toxic • Nutrition ... Childhood Catalytic Deficiency ... Niemann-Pick Disease #Gait ... Diagnosis #Algorithm #Causes
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
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Iron Deficiency ... → Inflammation causes ... improvement in symptoms ... endpoint of all-cause ... heartfailure #diagnosis #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... parasthesias, gait ... #diagnosis #management ... #nutrition
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... • Vitamin C deficiency ... mineralization Symptoms ... ) - Waddling gait ... Phosphatase: • Other causes
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
Uninitiated 1) WAIT ... MODERATE WITHDRAWAL SYMPTOMS ... withdrawal can be caused ... Moderate withdrawal symptoms ... Prescribing #Addiction #Management