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management differential algorithm cardiology causes nephrology neurology brash carcinoma compartment complexes criticalcare diuresis diuretics ecg electrocardiogram elevation emergencies encephalopathy endocrinology
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
• 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 ... Lactate > 1.5 High ... Severe auto-PEEP, Abdominal ... compartment syndrome ... ) UOP > 0.5 cc/kg
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... • Hypercalcemia ... • Short QT, high ... #differential #diagnosis ... #ekg #electrocardiogram
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
immature blasts and high ... Spontaneous if high ... hydration - Hyperkalemia ... unless worrisome EKG ... #TLS #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
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
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
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