10 results
Oculoskeletal Myorhythmia on Physical Exam

Resulting from a brainstem hemorrhage.

Dr. Boby Varkey Maramattom @bobvarkey

#Oculoskeletal #Myorhythmia #PhysicalExam #clinical
Oculoskeletal Myorhythmia ... Oculoskeletal #Myorhythmia
Oculomasticatory Myorhythmia

Pendular vergence oscillations of the eyes + concurrent contractions of the masticatory muscles.  It's
Oculomasticatory Myorhythmia ... Oculomasticatory #Myorhythmia
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
oculo-facial-skeletal myorhythmia
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
echocardiogram • Dysrhythmia
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Cardiomyopathy • Dysrhythmia
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Cardiac: • Dysrhythmia
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
not have obvious dysrhythmia
A junctional escape beat is a delayed heartbeat originating not from the atrium but from an
This dysrhythmia
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
hypotension and dysrhythmia
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
ECG or observed dysrhythmia