42 results
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... mg or 10–15 mg bumetanide ... following a single loop ... Diuresis #CHF #Algorithm
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... Always look for ... underlying cause ... Jugular #IJ #Vein #POCUS
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... Defining the cause ... Clinicians should also look ... differential #diagnosis #algorithm
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... Urine Mg > 10g • Loop ... Magnesium #Low #Causes ... Differential #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • HTN Absent: Loop ... Differential #Diagnosis #Algorithm ... #causes #potassium
Tinnitus - Subjective (heard only by patient) - 90% - Differential Diagnosis Algorithm
Unilateral On Audiogram -
Differential Diagnosis Algorithm ... • Metabolic Causes ... Propranolol, Levodopa, Loop ... Differential #Diagnosis #Algorithm ... #Causes
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Metolazone Loop ... ascending limb • Bumetanide ... nephrology #conversion #loop ... #thiazide #classes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... Differential Diagnosis Algorithm ... • Diuretics (loop ... Differential #Diagnosis #Algorithm ... #Causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • Look for ptosis ... a mass as the cause ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
What to ask/look ... rhabdo/TLS) Causes ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential