34 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... EKG of the same ... that’s called “clinical ... #PhysicalExam #JVP ... #Cardiology #Neck
Lancisi's Sign (Tricuspid Regurgitation) in a patient with Atrial Fibrillation

If you went to med school before
obscenely huge waves ... it giant A or V wave ... nice to have ur finger ... #Fibrillation #Neck ... #JVP #Clinical
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Wolff-Parkinson-White Syndrome ... out for a delta wave ... The definitive treatment ... complex (Delta wave ... #Clinical #Diagnosis
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... high #diagnosis #management ... #algorithm #treatment
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Hyperkalemia Typical ECG ... hyperkalemia) BRASH Treatment ... • Aggressive treatment ... #diagnosis #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Neck: “dropping ... Serologic and EMG ... stimulation - Single fiber ... Gravis #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... - Distended neck ... crackles, elevated JVP ... #criticalcare #treatment
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
meningococcal, H1N1) Clinical ... Guillain-Barre Clinical ... Treatment: • Plasmapheresis ... #diagnosis #management ... #treatment #neurology
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... cases; 50% in nec ... necrosis STSS Treatment ... #STSS #treatment ... #management #diagnosis
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 • Standard PPE
   • N95 or PAPR.
Hood to cover neck ... dose paralytic (e.g ... at least 1.2 mg/kg ... Internet Book of Critical ... Checklist #SARSCoV2 #Management