12 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
- burns - fevers ... HYPERVOLEMIC • CHF ... • liver failure ... #Workup #Algorithm ... #Nephrology
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... #Management #Pediatrics ... #Peds #Febrile ... Stratification #Fever
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Insufficiency, Liver ... Decompensated CHF ... #criticalcare #algorithm ... #treatment #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Presentation: - Fever ... Fulminant: - Acute HF ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... include vaptans (HF ... /liver disease) ... #Treatment #management ... #nephrology #sodium
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... Revascularization, treatment ... #Checklist #CHF
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... Mississippi and Ohio River ... infection • Cough, fever ... • Isolated fever ... #Management #Infections
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
elevated protein level ... persistent altered level ... epilepticus Treatment ... underlying cause • Treatment ... #management #neurology
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
empiric antibiotic treatment ... 92.0% and 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds ... Stratification #Fever
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... & Dry) is the treatment ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf