12 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 ... Correction #goal #rate #management ... #nephrology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Abscess Management ... Clindamycin in case of PCN ... Cavitation > 6 cm ... • Vasculitis (e.g
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... , Anuria - PCN ... +/- Stent: < 2 cm ... #Pediatrics #nephrology
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
target ~15-18 cm ... volumes of ~6 cc ... /kg ... use conventional lung-protective ... support #COVID19 #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... medical and surgical management
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
sclerosis in the long ... can be offered (e.g ... disadvantages #nephrology ... #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Antibiotics (Bactrim, PCN ... heparinized tube) • ECG ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology
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 ... Gravis #diagnosis #management ... #neurology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
not be subtle e.g ... (at least 1-2 cm ... per day or 1 mg/kg ... day, followed by long ... Symptoms #Diagnosis #Management
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 ... result in + as long