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diagnosis management differential algorithm causes nephrology neurology brash carcinoma cardiology compartment complexes criticalcare diuresis diuretics encephalopathy endocrinology excretion gravis high
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
BRASH Syndrome ... blockade S - Shock ... Typical ECG ... ) BRASH Treatment ... • Aggressive treatment
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
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Severe auto-PEEP, Abdominal ... compartment syndrome ... Treatment Goals ... ) UOP > 0.5 cc/kg ... criticalcare #algorithm #treatment
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... cases; 50% in nec ... necrosis STSS Treatment ... #Syndrome #STSS ... #treatment #management
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
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
by 24 hours or longer ... Infection/Sepsis/Shock ... Blood transfusion, Hypercalcemia ... epilepticus Treatment ... underlying cause • Treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Hyponatremia • Hypercalcemia ... Postoperative abdominal ... distention • Abdominal ... • Hypovolemic shock ... Tolvaptan) • Treatment
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