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diagnosis differential causes management neurology intercellularshift kdigo acei adrenalmass antiepileptics arb drugs encephalopathy endocrinology firsttime high hyperreflexia hyporeflexia ischemia malignant
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... Guillain-Barré syndrome ... Hyperreflexia: • Hypocalcemia ... diagnosis #table #neurology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... concomitant medications (e.g ... #ACEI #ARB #Initiation ... #monitoring #algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Congenital long QT Syndrome ... Hypomagnesemia • Hypokalemia ... • Hypocalcemia ... TDP #Management #Algorithm
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment algorithm ... management of acute hyperkalemia ... monitor 12-lead ECG ... Consider dialysis #hyperkalemia ... potassium #high #nephrology
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
inflammation (e.g ... Antiphospholipid syndrome ... Dissection, ASCVD, True hypovolemia ... ), Meds/Treatments ... Differential #Diagnosis #algorithm
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Tumor Lysis Syndrome ... • Digoxin #Hyperkalemia ... IntercellularShift #Nephrology
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... Releasing Carcinoma (e.g ... Other Source (e.g ... Polycystic Ovarian Syndrome ... Hypertension +/- Hypokalemia
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
Anti-Epileptic Drugs (AEDs ... abnormalities on EEG ... Seizure #FirstTime #Initiation ... #start #Algorithm ... #Neurology #SHINE
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Encephalopathy Syndrome ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... Seizures: Treat with AEDs ... diagnosis #management #neurology
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