13 results
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 ... DrEricStrong #BRASH #Syndrome
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... , asystole #hyperkalemia ... management #algorithm #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Compartment syndrome ... Tachycardia - N/V - Abdominal ... or compartment syndrome ... Treatment of underlying ... fluid/Lactated ringers
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
organ damage • Treatment ... hydration - Hyperkalemia ... treatment (no calcium ... unless worrisome EKG ... diagnosis #management #hematology
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 ... tenderness Treatment
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
and a palpable abdominal ... Budd Chiari syndrome ... disease Imaging and Treatment ... initial test: abdominal ... Hypercalcemia 4
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... Neck: “dropping ... head syndrome” ... Serologic and EMG ... stimulation - Single fiber
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... Criteria - Recurrent abdominal ... for diagnosis Treatment ... poorly fermentable fiber ... Irritable #Bowel #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 ... • EEG: With persistent ... epilepticus Treatment ... underlying cause • Treatment