11 results
Kussmaul's Sign on Physical Exam

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

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accept increased blood ... infarct, and other rarer ... causes of right-sided ... physicalexam #clinical #video ... #jvp #cardiology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... #potassium #high
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
It is caused by ... blood flowing backwards ... PhysicalExam #Clinical #Video ... Neck #Jugular #JVP
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... injury • Blood ... Blood transfusion ... differential #diagnosis #causes ... #potassium #high
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... load - Potassium ... Transfusion of aged blood ... Rhabdomyolysis/crush ... #Hyperkalemia #Causes
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
maculopapular rash ... Causes purpura & ... TRALI): Leading cause ... potassium from ... more likely to cause
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
maculopapular rash ... Causes purpura & ... TRALI): Leading cause ... potassium from ... more likely to cause
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Immobilization - Crush ... UA positive for blood ... Monitor potassium ... Diagnosis #Management #causes
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... production: TLS, Crush ... hyperkalemia: Blood ... draw error (Collection ... #potassium #high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... only if no clear cause ... hypertonic Amp IVP ... Management #Treatment #potassium