21 results
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... malignancies Treatments ... with Ca only if EKG ... #Tumor #Lysis #Syndrome ... TLS #oncology #management
BRASH Syndrome

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

Typical ECG
BRASH Syndrome ... Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... injury, etc) ECG ... offending agent (ACE-I ... #Management
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... Supportive Measures Act ... rightventricular #cardiology ... #management #treatment
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
have fever - ACS ... organ damage • Treatment ... hydration - Hyperkalemia ... unless worrisome EKG ... TLS #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... Ca-gluconate or 1g CaCl ... Terbutaline 7 µg/kg ... #Treatment #potassium
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Congenital long QT Syndrome ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... TorsadesdePointes #TDP #Management
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
interval J Wave Syndromes ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Budd Chiari syndrome ... disease Imaging and Treatment ... Hypercalcemia 4 ... Recombinant cytokines (e.g ... kinase inhibitors (e.g