13 results
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Blood transfusion ... insufficiency/Failure ... Blood transfusion ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Trauma/Crush injury ... • Blood transfusion ... insufficiency/Failure ... Blood transfusion ... differential #diagnosis #causes
Kussmaul's Sign on Physical Exam

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

-
biventeicular failure ... accept increased blood ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Medications, Spinal Cord Injury ... • Hypovolemic: Blood ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
papilledema, heart failure ... or acute kidney injury ... disorders including hypokalemia ... hypertension (blood ... Hyperthyroidism, Hypercalcemia
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... Transfusion of aged blood ... Rhabdomyolysis/crush injury ... excretion - Renal failure ... #Causes #diagnosis
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
mm is needed to cause ... - Acute kidney injury ... chronic renal failure ... Emergency #Diagnosis #Algorithm ... #CriticalCare #
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
hypoTN, renal failure ... Causes purpura & ... Related Acute Lung Injury ... TRALI): Leading cause ... Hypocalcemia, Hyperkalemia
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
hypoTN, renal failure ... Causes purpura & ... Related Acute Lung Injury ... TRALI): Leading cause ... Hypocalcemia, Hyperkalemia
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... Failure of the pupil ... Bennett & Bloom ... anisocoria #clinical #video ... ophthalmology #physicalexam