45 results
BRASH Syndrome

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

Typical ECG
Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... fluids" > normal saline ... BRASH #Syndrome #diagnosis
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
metastases, Infection (e.g ... uropathy, Metabolic causes ... (e.g., hypokalemia ... disease, Drugs (e.g ... Treatment is aimed
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential Diagnosis ... • Hypertonic saline ... Polyuria scheme) e.g ... Hypernatremia #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... K-sparing diuretics, Saline ... heparinized tube) • ECG ... only if no clear cause ... #nephrology #K
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... resulting in bizarre morphology ... potassium #high #diagnosis ... management #algorithm #treatment
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... • Infection (e.g ... Brain lesions (e.g ... Wonderland #Syndrome #diagnosis ... #neurology #differential
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... First line treatment ... in refractory cases ... Pericarditis #Cardiology #Diagnosis
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine ... Caused commonly ... by: - drugs (e.g ... neurodegenerative disorders (eg ... Treatment: anticholinergics
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
- Caine Criteria ... dysfunctions ( e.g ... Cerebellar dysfunction (e.g ... Anorexia nervosa Treatment ... #Management #neurology