1989 results
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
incongruous with clinical ... safely, whereas potassium ... Enteral potassium ... Intravenous potassium ... Internet Book of Critical
Thyrotoxic Periodic Paralysis - Illness Script
 • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
Thyrotoxic Periodic Paralysis ... • Treatment: Potassium ... hyperthyroidism, Potassium ... Thyrotoxic #Periodic #Paralysis
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemic periodic paralysis ... nephrology #low #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemic periodic paralysis ... Diagnosis #Low #Potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
arrhythmias and paralysis ... treated with IV potassium ... #differential #potassium
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
acute or chronic Clinical ... present as periodic paralysis ... environment • Potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• Recent IV potassium ... Hyperkalemia Periodic paralysis ... diagnosis #causes #potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Hypokalemic periodic paralysis ... hypokalemia #urine #potassium
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... Ghali @EM_RESUS #Clinical ... #POCUS #MSK #Shoulder
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
Diaphragmatic Paralysis ... Diaphragmatic #Paralysis ... Breathing #Diaphragm #Clinical