11 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Etiology • Hypothermia ... Normal variant • Hypercalcemia ... fibrillation Clinical ... with degree of hypothermia ... #ECG #Hypothermia
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
characteristically seen in hypothermia ... people with high hypercalcemia ... Cardiology #diagnosis #CriticalCare ... #hypothermia #osbornwaves ... #Clinical
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... Treatment guided by clinical ... scenario, ECG and ... Gluconate IV Shift ... recurrence #Hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Exertional: - Hyperthermia ... - Malignant hyperthermia ... Dermatomyositis Clinical ... • LDH ↑ • Hyperkalemia ... Shift of extracellular
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... incongruous with clinical ... Internet Book of Critical ... #Management #CriticalCare
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Releasing Carcinoma (e.g ... Other Source (e.g ... High Plasma E2 + Clinical ... Hypertension +/- Hypokalemia ... Diagnosis #Algorithm #Endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... disorders including hypokalemia ... 109 mm Hg) with clinical ... Vasculitis • Endocrinologic ... Hyperthyroidism, Hypercalcemia
Cardiomyopathy in setting of Hyperkalemia on POCUS Echocardiogram
Hypotensive, suspected rhabo, ECG c/w hyperK.
Normalized post calcium &
in setting of Hyperkalemia ... on POCUS Echocardiogram ... suspected rhabo, ECG ... #POCUS #Echocardiogram ... #clinical #psax
Emergencies related to thyroid gland diseases are infrequently observed in the clinical practice. They are caused
observed in the clinical ... ; treatment of hypothermia ... new techniques – e.g ... DharSaty #Coma, #CriticalCare ... Hypothyroidism, #Hypothermia
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
this post will focus ... The ECF and ICF ... remain in our ECF ... causes Hyperkalemia ... #foamed #criticalcare