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diagnosis algorithm causes endocrinology neurology pathophysiology acromegaly atrophicglossitis brash candida cardiology complexes criticalcare encephalopathy fissuredtongue geographictongue gravis hairytongue high hyperthyroidism
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... , asystole #hyperkalemia ... #algorithm #treatment
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
BRASH Syndrome ... Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... #diagnosis #management
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary Clinical features - Classic triad (flank pain, hematuria,
Renal Cell Carcinoma ... Diagnosis and Management ... Budd Chiari syndrome ... disease Imaging and Treatment ... Hypercalcemia 4
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... #Diagnosis #Management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Severe auto-PEEP, Abdominal ... compartment syndrome ... ) UOP > 0.5 cc/kg ... #management
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... life-threatening Differential ... Serologic and EMG ... stimulation - Single fiber ... Gravis #diagnosis #management
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperdefecation • Anterior neck ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... fibrillation/flutter • Abdominal ... causes #diagnosis #differential
Tongue Pathology Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
do not require treatment ... require biopsy to differentiate ... benign lesions (e.g ... squamous cell carcinoma ... Burning mouth syndrome
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Inherited arrhythmia syndromes ... syndrome, ARVC) ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
by 24 hours or longer ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... epilepticus Treatment ... #diagnosis #management
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