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diagnosis causes management neurology algorithm cardiology chronic complexes encephalopathy endocrinology fatigue hyperthyroidism myasthenia nephrology posterior premature pres pvc pvcs reversible
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... head syndrome” ... life-threatening Differential ... Serologic and EMG ... stimulation - Single fiber
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... • Myasthenia Gravis ... • Drug Abuse (e.g ... Chronic Fatigue Syndrome
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperdefecation • Anterior neck ... diffuse goiter (Graves ... antibodies (TRAb) if Graves ... ↑ T3 - Mild hypercalcemia ... causes #diagnosis #differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... - Compartment syndrome ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... Rhabdomyolysis #Differential
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 ... underlying cause • Treatment
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