29 results
Diabetic Myonecrosis (Diabetic Muscle Infarction)
 • Spontaneous ischemic necrosis of skeletal muscle (anterior thigh or calf)
muscle (anterior thigh ... Common pattern: ↑CK ... weeks with above treatment ... • High recurrence ... Infarction #diagnosis #management
Patient factors influencing the selection Of glucose-lowering drugs Other than SGLT2i and metformin in T2D and
sulfonylurea; T2D. type 2 diabetes ... type 2 diabetes; ... #Diabetes Management ... in CKD #management ... #treatment #CHART
Management of Diabetes Mellitus in Patients With CKD

1. Monitor for changes in BP, serum creatinine, &
Management of Diabetes ... Patients With CKD ... initiation of treatment ... and CKD should ... #Diabetes #CKD #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High ... Injury Low CO / High ... Dehydration Shock Treatment ... #management
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... Hyperkalemia: • CKD ... (Uncontrolled diabetes ... causes #potassium #high
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
• IgG type ± C3d ... • Blood smear: Differential ... Anemia #diagnosis #management ... #treatment #rheumatology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Hypernatremia - Differential ... The differential ... urine osm (in DI; high ... post-obstructive 3) Diabetes ... #management #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... Hyperkalemia: • CKD ... (Uncontrolled diabetes ... causes #potassium #high
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... Reservoir • High ... Workup #diagnosis #Management ... #treatment #criticalcare
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Usually middle-aged diabetic ... patients with high ... suspicion, such as diabetic ... also important Management ... data • Early treatment