18 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
infarct, and other rarer ... causes of right-sided ... physicalexam #clinical #video
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Immobilization, Crush ... Monitor potassium ... Management #Summary #causes
Posterior Drawer Test for Posterior Cruciate Ligament (PCL) Injury on Knee Examination 

The Posterior Drawer Test
Posterior Drawer ... The Posterior Drawer ... on the table, push ... Video via @open_michigan ... PhysicalExam #clinical #video
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Loss of sodium/Potassium ... fatigue Heat Rash ... Hyperventilation, Dizziness, Nausea ... differential #diagnosis #causes
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Immobilization - Crush ... Monitor potassium ... Diagnosis #Management #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... only if no clear cause ... Management #Treatment #potassium
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... extracellular potassium ... load - Potassium ... Rhabdomyolysis/crush ... #Hyperkalemia #Causes
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
maculopapular rash ... Causes purpura & ... TRALI): Leading cause ... products contain potassium ... more likely to cause