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diagnosis management neurology cardiology differential ekg syndrome cardiacglycoside digitaliseffect digoxin digoxintoxicity electrocardiogram elevation encephalopathy evaluation fabfragments headache headaches hematology high
Progressive ECG changes with increasing hyperkalaemia. (a) Normal (b) Tented T wave (arrow)
changes with increasing ... hyperkalaemia ... d) 'Sine wave' pattern ... #ECG #Hyperkalemia ... #Progression #Changes
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Algorithm • IV ... potassium and ECG ... changes • 5.5 ... morphology, "Sine wave" pattems ... #treatment
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... changes? ... #Treatment #Algorithm
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Differential Diagnosis Algorithm ... PHANTOMS): • Pattern ... change, progressively ... CNS infection (e.g ... Differential #Diagnosis #Algorithm
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
tinnitus, visual changes ... , dyspnea, +/- CXR ... organ damage • Treatment ... hydration - Hyperkalemia ... unless worrisome EKG
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Seizures • Vision changes ... Blood transfusion, Hypercalcemia ... Imaging Patterns ... territories signal changes ... epilepticus Treatment
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for the Treatment ... goals of acute treatment ... , changes on ECG ... Figure 3 is an algorithm ... #Treatment
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 The chemical formula of Digoxin is C41 H64 O14. Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
, hypercalcemia, ... in a bigeminal pattern ... effect" on the ECG ... consists of T wave changes ... the successful treatment
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Early-repolarization pattern ... leads • S1Q3T3 pattern ... Disorders: • Hyperkalemia ... dissection • Sodium-channel ... diagnosis #cardiology #ecg
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
warranting urgent treatment ... palpitations, changes ... electrocardiography (ECG ... Identification and treatment ... #Evaluation #Algorithm
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