17 results
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
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diagnosis of ... Hyponatremia • Hypercalcemia ... Postoperative abdominal ... • Hypovolemic shock ... Tolvaptan) • Treatment
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... bradycardia → sine wave ... Terbutaline 7 µg/kg ... definitive guide to diagnosis ... #Diagnosis #Management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... , diuretics), Low ... PO Intake by Nick ... #diagnosis #differential
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
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... Loop diuretics for ... #Differential #Diagnosis
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
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
• Triggers: Diuretics ... organ damage • Treatment ... hydration - Hyperkalemia ... unless worrisome EKG ... #TLS #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