21 results
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... Neurological insult • Medications ... fibrillation Clinical ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis ... Electrocardiogram #ECG ... #Clinical
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 Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... Transcellular Shift ... Gap Metabolic Acidosis ... • Cell Lysis (e.g
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Excess Insulin • Medications ... (e.g. ... • Alimentary (e.g ... (e.g. ... Diagnosis #Algorithm #endocrinology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Etiology: • Medications ... heparinized tube) • ECG ... only if no clear cause ... STOP offending medications
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
• Acromegaly Medications ... agonists • Others Critical ... Hyperglycemia (e.g ... Diagnosis #Algorithm #endocrinology ... #causes
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Triage EKG (no prior ... See thread for POCUS ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
risk factors (eg ... hypertension (eg ... 109 mm Hg) with clinical ... hypertension (eg ... Vasculitis • Endocrinologic
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... of lactate as a clinical ... / hypoxemia -> focus ... - HIV/HAART medications