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diagnosis management causes neurology algorithm brash cardiology complexes criticalcare encephalopathy endocrinology gravis hyperthyroidism myasthenia nephrology pathophysiology posterior premature pres pvc
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
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... 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
Rhabdomyolysis - Differential ... - Compartment syndrome ... Tachycardia - N/V - Abdominal ... fluid/Lactated ringers ... Rhabdomyolysis #Differential
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 ... causes #diagnosis #differential
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
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 ... Infection/Sepsis/Shock ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... epilepticus Treatment
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