11 results
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM ... rate #management #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
therapy (MET): e.g ... , Anuria - PCN ... +/- Stent: < 2 cm ... involvement: eyes, TFT, ECG ... Management #Pediatrics #nephrology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Encephalitis: MCC ... Enteroviruses (e.g ... Herpesviruses (MCC ... Bacterial Meningitis: MCC ... differential #diagnosis #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
Toxoplasma gondii PCR ... • JC-virus PCR ... - Generally >3 cm ... Enhancement • PCR ... InfectiousDiseases #Neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Paraneoplastic effects of SCC ... Miller Fischer and PCB ... Serologic and EMG ... diagnosis #management #neurology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
lumbar spine • MCC ... equina syndrome (CES ... diagnosis #causes #neurology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... heparinized tube) • ECG ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Clindamycin in case of PCN ... Cavitation > 6 cm ... • Vasculitis (e.g
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Work Up: • Chem ... electromyographic (EMG ... Differential #Diagnosis #neurology
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
Other +s: PCP, Histo ... specificity for IFI in hem ... formulations (eg ... risk pts with hem