21 results
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... counting of HR by EKG ... waves • Pseudo-STEMI ... #EKG #ECG #electrocardiogram ... cardiology #diagnosis #clinical
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... variable • Abrupt rate ... : HR > 180bpm ECG ... Signs of shock or ... #Algorithm #peds
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... Treatment guided by clinical ... scenario, ECG and ... rate of rise ... #management #algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... #Management #CriticalCare
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Pathogenesis and Clinical ... Signs/Symptoms/Complications ... #21HydroxylaseDeficiency #21OHD #pathophysiology ... endocrinology #peds ... #pediatrics
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
WBC >100k, + lab signs ... proliferation rate ... hydration - Hyperkalemia ... unless worrisome EKG ... TLS #diagnosis #management
Infantile Spasms 
Associated with Tuberous Sclerosis 
1) Flexor spasms: Sudden flexion of neck, trunk, arms, and
of the legs Clinical ... Hypsarrhythmia EEG ... pattern Management ... Infantile #Spasms #Peds ... #Pediatrics #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... sign) (→ 3-8)
Algorithm for Management of Head Injuries in Children
Primary survey:
 • Airway and cervical spine
 • Breathing
Algorithm for Management ... of vomiting • Clinical ... skull fracture, e.g ... Injury #trama #pediatrics ... #peds
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
dystrophy - Brain stem ... Serologic and EMG ... test - Cogan sign ... - Peek sign ... Gravis #diagnosis #management