26 results
Hypokalemia on EKG 

Patient presenting with severe weakness.  Patient had GI bug with vomiting/diarrhea.
Hypokalemia on EKG ... Patient had GI bug ... Had K+ 1.7 along ... leads with long QU interval ... RJonesSonoEM #UWaves #Hypokalemia
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
ARB, diabetes) ACE ... child-bearing potential Ca2 ... Heart failure Ca2 ... Pgp-dependent drugs (e.g ... contraindications #table
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation in ACS ... diagnosis includes ACS ... aVR instead of ACS ... widened QRS and QTc interval
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... prolonged PR and QT intervals ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... current guidelines (eg ... recent PCl or ACS ... fluid status (hypervolemia ... #Management #Algorithm
Algorithmic Approach to Anemia - Differential Diagnosis Framework by MCV

Microcytic (MCV < 80) "TAILS":
 • Thalassemia
Algorithmic Approach ... Thalassemia • ACD ... Non-hemolytic: ACD ... aciduria, Drugs (e.g ... #Anemia #MCV #Algorithm
Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
Algorithm for choosing ... metabolic equivalent; ECG ... evaluation of stable ... #ACS #stresstest ... #CAD
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... injury, Early ALS ... Eclampsia, Late ALS ... differential #diagnosis #table
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... potassium and ECG ... , Prolonged PR interval ... , asystole #hyperkalemia
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... injury, etc) ECG ... #Treatment #Algorithm