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Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
Unilateral Facial Nerve ... , Lyme, facial nerve ... Diagnosis and Workup ... No additional workup ... inflammatory cause) • EMG
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Shock #Diagnosis #Management
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... gap > 125mOsm/kg ... Abdominal imaging (CT, ultrasound ... Chronic #Diarrhea #Workup ... #diagnosis #differential
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
visceral organ or nerve ... joint trauma (e.g ... derangements (e.g ... rheumatology #approach #workup ... #differential #
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management ... #Workup
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Mononeuropathy: Nerve ... dystrophies Work ... electromyographic (EMG ... #Weakness #Differential
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... (no B-lines on ultrasound ... #HeartFailure #Cardiology ... #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... DCSI #Initiative #Management ... #Cardiology