69 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... cardio-pulmonary symptoms ... Wave in V1 • Shift ... in relation to ECG ... Embolism #AcutePE #diagnosis
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
mmol/L - Consider cause ... Treatment guided by clinical ... scenario, ECG and ... Gluconate IV Shift ... Prevention - Consider cause
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Shift Work) Sleep ... Disorders • Neurologic ... Disorders (Eg. ... • Medications (Eg ... • Drug Abuse (Eg
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... - Differential Diagnosis ... Transcellular Shift ... • Cell Lysis (e.g
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
metastases, Infection (e.g ... uropathy, Metabolic causes ... (e.g., hypokalemia ... disease, Drugs (e.g ... #Diagnosis #Differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Management Summary Causes ... Dermatomyositis Clinical ... : • Triad of symptoms ... Shift of extracellular
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... high WBC count cause ... hydration - Hyperkalemia ... unless worrisome EKG ... Syndrome #TLS #diagnosis
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... - Differential Diagnosis ... Liver Failure • Hypercalcemia ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... Pathophysiology: ... #neurology #posture