21 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... • Chronic - Urate ... flares/year 2) Gouty ... NUIM_Chiefs #gout ... #diagnosis #management
Uric Acid Homeostasis
In the liver, purines are metabolized to uric acid. The last step in purine
animals, the enzyme uricase ... Uricase is not present ... The gout drug pegloticase ... #Homeostasis #Gout ... #Medications #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... wet (dependent areas ... Hemorrhagic: bleeding out ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... wet (dependent areas ... Hemorrhagic: bleeding out ... Classification #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... Monosodium urate ... predominance • Urate ... infection Serum Urate ... #diagnosis #management
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
blockade S - Shock ... waves (Bradycardia out ... Syndrome #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Pregnancy test rule out ... thromboembolic disease, breast ... endometrial path0100' or breast ... Uterine #Bleeding #Management
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
hyperkeratotic central areas ... #clinical #photo ... #NEJM #tinea #capitis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Pts: cardiogenic shock ... Management during ... Management during ... Management during ... Postpartum Period • Breast-feeding
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... help you figure out