11 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... Diagnosis: r/o ... diet, d/c culprit medications ... 1) 2+ flares/year ... #diagnosis #management
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist
Overnight Events:
 - Night float signout, nursing notes
Interdisciplinary
Guide - Daily Checklist ... Review pending/send-out ... PRN by primary team ... #PreRounding #Checklist ... #management #inpatient
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... - Review of medication ... limit them as able ... #Pancreatitis #Checklist ... #Diagnosis #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Gout - Diagnosis ... and Management ... Metabolic syndrome • Medications ... 2 attacks in a year ... #diagnosis #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... • Nephrogenic diabetes ... #Pharmacology #Medications ... #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... and Management ... Etiology: • Medications ... Elimination (see Table ... STOP offending medications
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... echo in the last year ... Diabetes regimen ... medical and surgical management ... stratification #diagnosis
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Pheochromocytoma - Diagnosis ... and Management ... person-years • 50-year ... apparent type 2 diabetes ... blockers cancel out
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre
inform theatre team ... tracheal tube rules out ... Intraoperative #Checklist ... #Diagnosis #Management
Indications for Implantable Cardioverter-Defibrillator (ICD) in Patients with Ischemic Heart Disease (IHD) to Prevent Sudden Cardiac
meaningful survival >1 year ... guideline-directed management ... guideline-directed management ... unstable VT • Stable ... #cardiology #diagnosis