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Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Immobilization - Crush ... • LDH ↑ • Hyperkalemia ... Hypocalcemia/Late - Hypercalcemia ... Diagnosis #Management #causes
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Immobilization, Crush ... syndrome, Electrical injury ... extracellular fluid into injured ... Dialysis for severe hyperkalemia ... Management #Summary #causes
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... production: TLS, Crush ... injury, Hemolysis ... : Blood draw error ... Differential #Diagnosis #Causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Burns • Trauma/Crush ... injury • Blood ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Burns • Trauma/Crush ... injury • Blood ... differential #diagnosis #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Lysis (TLS, rhabdo/crush ... injury, ischemia ... tourniquet / IVF line draw ... only if no clear cause
Posterior Drawer Test for Posterior Cruciate Ligament (PCL) Injury on Knee Examination The Posterior Drawer Test
Posterior Drawer ... Ligament (PCL) Injury ... on the table, push ... Video via @open_michigan ... PhysicalExam #clinical #video
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 Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... intoxication - Hyperkalemic ... Rhabdomyolysis/crush ... injury* - Extensive ... #Causes #diagnosis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
fatigue Heat Rash ... sweat Heat Injury ... damage (AKI, Liver injury ... Hypocalcemia - Hyperkalemia ... differential #diagnosis #causes
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
maculopapular rash ... Causes purpura & ... Related Acute Lung Injury ... TRALI): Leading cause ... Hypocalcemia, Hyperkalemia
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