15 results
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
flapping tremor) in uremia ... and confusion = uremia ... Immediate RRT planned ... #PhysicalExam #neurology ... #uremia #clinical
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Acute Thiamine (B1 ... ) Deficiency Clinical ... dysfunction - Dietary deficiency ... #Deficiency #diagnosis ... #criteria #neurology
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
(Sustained low efficiency ... daily dialysis): ~12 ... Corrects uremia, ... #managment #nephrology ... #CRRT #Modes #modalities
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
thiamine (vitamin B1 ... ) deficiency, commonly ... and retrograde amnesia ... #vitaminB1 #B1 # ... diagnosis #comparison #neurology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
(Sustained low efficiency ... daily dialysis): ~12 ... Corrects uremia, ... Gently corrects uremia ... #managment #nephrology
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome Clinical ... • Anterograde amnesia ... presentation of Thiamine deficiency ... Korsakoff #Syndrome #neurology
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
Diagnosis and workup ... 1) Clinical ... Whipple, vitamin deficiency ... - Progressive amnesia ... Differential #Subtypes #Classification
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
e.g AEIOU ) or anuria ... require urgent nephrology ... creatinine (in 12 ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... • Vitamin C deficiency ... • Pernicious anemia ... /B12 deficiency ... respiratory failure • Neurologic
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
endocrine: Vitamin B12 ... deficiency • ... dystrophies Work ... aminotransferases • Serology ... Differential #Diagnosis #neurology