27 results
Vertical (Upbeat) Nystagmus on Physical Exam

This patient had severe hypomagnesemia. Serum Mg 0.1 mg/dl.

Dr. Arvind Canchi
Serum Mg 0.1 mg/ ... dl. ... hypomagnesemia #clinical #video ... #neurology
Acute Kidney Injury - RIFLE and AKIN Criteria for Diagnosis and Classification of AKI
 • AKIN
Increase in SCr ≥ 0.3 mg ... /dL or increase ... /dL with an acute ... /dL; or on RRT ... Classification #nephrology
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
meq/L] + [BUN mg ... /dL]/2.8 + [glucose ... mg/dL]/18 HIGH ... Diagnosis #Algorithm #nephrology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
if glucose < 60 mg ... /dL) • Aspiration ... o Diazepam 5 mg ... to a max of 20 mg ... Management #Algorithm #Neurology
Albuminuria (Grades) and Risk for CKD
Normal to mildly increased albuminuria:
 - Albumin excretion rate: < 30
excretion rate: < 30 mg ... excretion rate: 30-300 mg ... ratio: 30-300 mg ... hypoalbuminemia (<3.0 g/dL ... classification #CKD #nephrology
Definitions of AKI, CKD, AKD
Acute Kidney Injury (AKI):
 • Increase in SCr by 2 50% within
in SCr by 2 0.3 mg ... /dl (2 26.5 gmol ... per 1.73 m2 • Stable ... #Definitions #nephrology
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
creatinine >2.5 mg ... /dl„ in men, >2.0 ... mg/dL in women) ... contraindications #table
Diabetes Mellitus Type 2 Inpatient Medication Guide

Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i,
glucose goal 140-180 mg ... /dL Insulin Pearls ... pharmacology #comparison #table
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
level 100-500 mg ... /dL • Glucose ... level: <40 mg/dL ... culture or by serology ... differential #diagnosis #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
MG patients need ... as 10-15% with MG ... always ask your MG ... PhysicalExam #clinical #video ... ophthalmology #neurology