9 results
Hyperkalemia - Differential Diagnosis Framework

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

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Trauma/Crush injury ... • Digoxin • K ... insufficiency/Failure ... differential #diagnosis #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... - Renal Failure ... only if no clear cause ... hypertonic Amp IVP ... Definitive in ESRD or failure
Kussmaul's Sign on Physical Exam

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

-
biventeicular failure ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
, and elevated JVP ... is identified (video ... Workup for cause ... diastolic heart failure ... AorticRegurgitation #Diagnosis #PhysicalExam
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
is dominated by K+ ... in the ECF causes ... Hyperkalemia, a ... risk of renal failure ... #foamed #criticalcare
This is a fibula fracture with a tear of the deltoid ligament and syndesmotic ligaments. 

It’s
It’s caused by a ... with a sequential failure ... #syndesmotic #injury ... #fluoroscopy #video ... clinical #sports #orthopedics
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
brain-dead or brainstem failure ... reported in some cases ... Lazarus #Reflex #PhysicalExam ... #clinical #video ... #neurology #criticalcare