31 results
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... meningococcal purpuric rash ... Coma #Pediatrics #Peds ... #ABCs #CriticalCare
Causes of Depressed / Lethargic Newborn - Differential Diagnosis Algorithm
Maternal Related:
 • Drugs (Ex. SSRI)
 •
Causes of Depressed ... Respiratory Distress Syndrome ... • Anemia • Shock ... Diagnosis #Algorithm #Causes ... #Peds #Pediatrics
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Fulminans Skin Rash ... rigors, diarrhea, nausea ... in multipressor shock ... slowly improving on abxs ... Final dx: Septic shock
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Glucose/Temp • ACS ... Infections BRASH ... blocking agent • Shock ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... GAS in 30% of cases ... erythematous macular rash ... #Syndrome #STSS ... #treatment #management
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
URT inflammation causes ... & hemorrhagic rash ... ; symptoms of shock ... Vesicular & pruritic rash ... #Immunization #peds
BRASH Syndrome

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

Typical ECG
BRASH Syndrome ... blockade S - Shock ... Typical ECG in BRASH ... #Syndrome #diagnosis ... #management #pathophysiology
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
Emergencies Compartment Syndrome ... • Initial Management ... • Syndrome caused ... Syndrome usually ... • Management:
Summary of Infections in which Steroids play a role in treatment
 • TB meningitis
 • TB
pericarditis (select cases ... reconstitution inflammatory syndrome ... Refractory septic shock ... • Ramsay Hunt syndrome ... Indications #infections #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... anaphylaxis, toxins/meds ... Classification #diagnosis #management ... #differential #causes