1007 results
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
migraine • IV NS ... Amitriptyline 10 mg PO hs ... Topiramate 25 mg PO hs ... Melatonin 3-5mg qhs
H’s and T’s Mnemonic - Causes of Cardiac Arrest
H's - Hypovolemia, Hypoxia, Hydrogen Ions (acidosis), Hyperkalemia
H’s and T’s Mnemonic ... Cardiac Arrest H's ... Pulmonary), Trauma #Hs
Diabetic foot risk stratification and triage (NHS Scotland) 2021
Risk stratification – Summary

These risk categories relate to
stratification and triage (NHS
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
reversed halo sign (RHS ... the wall of the RHS ... nodules inside the RHS ... the wall of the RHS ... nodules inside the RHS
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
DKA vs HHS - Think ... of DKA and HHS ... emergencies - HHS ... like overlap DKA/HHS ... if HHS + poor PO
Lactulose: Mechanism of Action in Hepatic Encephalopathy
Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH
Acid → ↓ pH → ↓ NH3 ... absorption), ↑ NH4
Guideline for management of adult patients with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)

UCSD Internal
hyperglycemic state (HHS ... @ucsdim #DKA #HHS
Algorithm for treatment of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS)

#DKA #HHS #Algorithm #Diabetic #Ketoacidosis
Hyperosmolar State (HHS ... ) #DKA #HHS #
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Hyperosmolar State (HHS ... ) • DKA/HHS Overlap
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
signs/symptoms of HHS ... Kussmaul respirations HHS ... IM #Endo #DKA #HHS