29 results
Common Causes of the Different Categories of Dizziness #Diagnosis #PrimaryCare #EM #IM #Differential #Dizziness #Vertigo #Disequilibrium
#PrimaryCare #EM ... Lightheadedness #Table ... #NEJM
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Clinical #Cardiology #EM ... #EKG #Hyperkalemia ... #PeakedT #NEJM
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
Fluid Infusion Rates ... NEJM 2018 https ... TessaRDavis #EBM ... IVFluids #Infusion #Rates ... #NEJM
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
variable • Abrupt rate ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... 2 J/kg - Dr.
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Receptor, Heart Rate ... 0.375-0.75 mcg/kg ... high 10-20 mcg/kg ... Vasopressors #Properties #Table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... - Control rate ... - Control rate ... (e.g., diltiazem ... - Control rate
Size
A solitary pulmonary nodule (SPN) is defined as a single intraparenchymal lesion less than 3 cm
listed in the table ... nodule detection rate ... #EBM #Radiology ... MalignancyRate #Rate
Features of Noninferiority Studies #EBM #Noninferiority #Features #Table #NEJM
Noninferiority Studies #EBM ... Noninferiority #Features #Table ... #NEJM
Autoantibodies and their Disease Associations
ANA - Non-specific; common in SLE, autoimmune hepatitis
Anti-CCP, Rheumatoid factor - RA
Anti-dsDNA
- Vasculitis, e.g ... - Vasculitis, e.g ... Celiac disease Anti-GBM ... diseases #diagnosis #table
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
Poorer exchange rates ... can be offered (e.g ... Poor flow rates ... Hemodialysis #comparison #table