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management differential algorithm causes nephrology neurology brash carcinoma cardiology compartment complexes criticalcare diuresis diuretics encephalopathy endocrinology excretion gravis high hyperthyroidism
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 ... #diagnosis #management
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... • Consider K+ binder ... potassium and ECG ... potassium #high #diagnosis ... management #algorithm #treatment
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Severe auto-PEEP, Abdominal ... compartment syndrome ... Treatment Goals ... ) UOP > 0.5 cc/kg
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... cases; 50% in nec ... fasc Diagnostic ... #Syndrome #STSS ... #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... - Compartment syndrome ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... #Differential #Diagnosis
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,
Carcinoma (RCC) - Diagnosis ... and a palpable abdominal ... Budd Chiari syndrome ... disease Imaging and Treatment ... Hypercalcemia 4
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Neck: “dropping ... myasthenia Diagnosis ... Serologic and EMG ... stimulation - Single fiber ... Myasthenia #Gravis #diagnosis
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
• Diagnosis of ... Hyponatremia • Hypercalcemia ... Postoperative abdominal ... • Hypovolemic shock ... Tolvaptan) • Treatment
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