13 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... Assessment of volume status ... , liver, renal disease ... #EM #IM #Nephro ... Differential #Algorithm #Ddxof
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
for reversible cause ... Midazolam 10 mg IM ... Consider consulting anesthesia ... #Epilepticus #Treatment ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... for reversible cause ... Midazolam 10 mg IM ... Consider consulting anesthesia ... #Epilepticus #Treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
socioeconomic status ... non-productive cough, nausea ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #treatment #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
other obvious causes ... , left heart disease ... pressure < 15mmHg TREATMENT ... improved functional status ... #management #hepatology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
More likely to cause ... myasthenia usually • Starts ... glucocorticoids - can cause ... Hospital of Baltimore IM ... #management #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Shock, Autoimmune disease ... epilepticus ... the underlying cause ... • Treatment of ... #management #neurology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
>40C), mental status ... may present with pulmonary ... , induction of anesthesia ... disease: Management ... #Management #treatment
Clarkson’s Disease - Capillary leak syndrome
Epidemiology: Roughly 150 published cases, Median age 50 years, No sex
150 published cases ... tissues: Myalgia, paresthesia ... filling +++ (risk of pulmonary ... leak #syndrome #diagnosis ... #management #timeline
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... to IBD, celiac disease ... malabsorptive state ... , can consider IM ... #management #nutrition