19 results
Clinical features of shock from dehydration in an infant

Decreased level of consciousness 
Sunken fontanelle 
Dry mucous
Clinical features ... dehydration in an infant ... Decreased level ... #PhysicalExam #Signs ... #Dehydration #Peds
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm
Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic ... Infant (Floppy ... Differential Diagnosis Algorithm ... Nervous System - Decreased ... #Causes #Peds #
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... severe TR, RV infarct ... and other rarer causes ... #physicalexam #clinical ... #video #jvp #cardiology
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
acid lipase is critical ... and gut, which causes ... #clincial #peds ... calcifications #infant ... NEJM #Wolmans #radiology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Infants ≤6 months ... if they have no clinical ... lack of tapering, decreased ... and lab signs ( ... #Diagnosis #Peds
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... maintained fever CAUSES ... devices, especially infants ... hyperthermia crisis (late sign ... amphetamines) Toxic: • Radiologic
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Pathogenesis and Clinical ... enzyme 21-OHase causes ... deficiencies present in infants ... Signs/Symptoms/Complications ... endocrinology #peds
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
displaced Fat Pads ... So even in a case ... called the “Sail sign ... Fracture #trauma #clinical ... #radiology #msk
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... Cataract Plan for Meds ... are needed: • HgbA1c ... or death (CARP, DECREASE
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... the determined cause ... #differential #algorithm ... #management #cardiology