21 results
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
EKG showing prominent ... U waves due to hypokalemia ... #EKG #emergencymedicine ... #criticalcare # ... Electrocardiogram #ECG
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
people with high hypercalcemia ... This EKG was recorded ... #EKG #EmergencyMedicine ... Cardiology #diagnosis #CriticalCare ... Electrocardiogram #ECG
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... clinical scenario, ECG ... Gluconate IV Shift ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... Hypomagnesemia Hypokalemia ... Diagnosis #Cardiology #ECG ... #EKG
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemias (e.g ... Bone Resorption (e.g ... 1,25-(OH)2D3 (e.g ... Calcium Intake (e.g ... Diagnosis #Algorithm #Endocrinology
Causes of Hypercalcemia - Differential Diagnosis Algorithm
 • Primary Hyperparathyroidism 
 • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Hypocalciuric Hypercalcemia ... • Humoral Hypercalcemia ... Granulomatous Disorders (eg ... Algorithm #Causes #endocrinology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... #Management #CriticalCare
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... blocks, QRS axis shift ... , asystole #hyperkalemia
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ECG ... injury, etc) ECG ... cardiac membrane Shift ... not quickly) #Hyperkalemia
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... hypocalciuric hypercalcemia ... Genetic disorders (e.g ... Jansen disease #Hypercalcemia ... Differential #Diagnosis #Endocrinology