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Wall-eyed bilateral inter nuclear ophthalmoplegia (WEBINO) Syndrome

In this specific case, the lesion is bilaterally in the
semiologianeurologica #Walleyed ... #bilateral #internuclear
General algorithm for the management of inflammatory pancreatic fluid collections. 

ANC, acute necrotic collection; APFC, acute
inflammatory pancreatic fluid ... peripancreatic fluid ... pseuodcyst; WON, walled-off-necrosis ... #pancreatic #fluid
Classification of Pancreatic Fluid Collections
Interstitial Edematous Pancreatitis: 
 < 4 weeks - Acute (peri)panreatic fluid collection
of Pancreatic Fluid ... peri)panreatic fluid ... extrapancreatic fluid ... ≥ 4 weeks - Walled ... #Pancreatic #Fluid
Pancreatitis Complications - Necrotizing Pancreatitis and Fluid Collections
Interstitial Edematous (85%):
 • Acute Pancreatic Fluid Collection (APFC)
Pancreatitis and Fluid ... Acute Pancreatic Fluid ... collection (ANC) → • Walled-off
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
Wall-eyed bilateral internuclear ... bobvarkey #WEBINO #Walleyed ... #internuclear #
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
CHF, Cirrhosis - Fluid ... restriction SIADH - Fluid ... depletion - IV Fluids ... polydipsia - Normalize fluid
Endoscopic Management of Pancreatic Walled Off Necrosis
 - Pancreatic Fluid Collections Basics
 - The Whys and
of Pancreatic Walled ... - Pancreatic Fluid
Trichodysplasia spinulosa: follicles plugged w/ hyperkeratotic & parakeratotic debris, excessive inner root sheath differentiation towards keratinization.
EM shows intranuclear
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Achieving a Negative Fluid ... Of A Negative Fluid ... Achieving a negative fluid ... liter of positive fluid ... for removal of fluids
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
briskly to IV fluids ... - Responds to fluid ... Failure - Restrict fluid