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Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Framework BRADI Mnemonic ... blocking agent • Shock ... Spondylarthropathies Other causes ... differential #diagnosis #causes ... cardiology #BRADI #Mnemonic
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... - Indication: Can ... Inotropes #comparison #table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... • Sinus pauses ... Classification #Table ... #Causes
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause ... line in septic shock ... /cGMP • Causes
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• Everyone who can ... • They must be able ... Regadenoson) - ↑ cAMP ... production to cause ... Contraindications: - Bradycardia
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
piperacillin-tazobactam Septic Shock ... only in selected cases ... #Community #Acquired ... #Pneumonia #CAP
One mnemonic to recall common treatable causes of dementia is “IMIT”, as these conditions can imitate
One mnemonic to ... common treatable causes ... these conditions can ... common, incurable causes ... of dementia (Table
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
Can be induced ... Haverhill fever caused ... perstans • A form of acquired ... • Can be associated ... Erythemas #comparison #table
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
and diagnosis can ... clinical suspicion is required ... in up to 30% of cases ... Marantic #diagnosis #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
correct profile can ... excess volume can ... essentially Cardiogenic Shock ... the determined cause ... cardiology #treatment #table