4693 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
• Neurological insult ... JWave #Diagnosis #Differential ... #Cardiology #EKG
Insulin Pharmacology and Conversion

 • Conversion of U-100 to U-500 Insulin
 • Inpatient Intravenous to subcutaneous
Insulin Pharmacology ... U-100 to U-500 Insulin ... subcutaneous (s/c) insulin ... Intermediate Acting Insulins ... @DharSaty #Insulin
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup and Differential ... Ab - Insulin Autoimmune ... still rise by 25+ Differential ... Misuse • Insulin ... Hypoglycemia #Workup #Differential
Insulin Comparison Chart

Insulin Types - Onset (hours) - Peak Glycemic Effect (hours) - Duration (hours)
 •
Insulin Comparison ... Chart Insulin ... • Combination Insulins ... Lispro, NPH + Insulin ... Kfischer_10 #Insulin
Insulin Dosing Basics - Initiating Insulin for T2DM and Converting Insulin Products 

Insulin dosing can be
Insulin Dosing Basics ... - Initiating Insulin ... and Converting Insulin ... Products Insulin ... initiate basal insulin
Causes of Myocarditis 
1. Infectious Myocarditis
 • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
myasthenia gravis, insulin-dependent ... Myocarditis #Causes #differential ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
embolic/ischemic insult ... • Infectious insult ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
Differential Diagnosis ... Other studies: insulin ... C-peptide, pro-insulin ... cortisol, B-OH, insulin ... #Hypoglycemia #Differential
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... hypoglycemic episode: • Insulin ... • Glucose • Insulin ... #Hypoglycemia #Differential
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
HHS) Absolute Insulin ... Type I DM: No insulin ... stresses that ↑ insulin ... demand Relative Insulin ... TX, stresses ↑ Insulin