38 results
Coarctation of the Aorta 

Preductal Coarctation:
Narrowing is proximal to ductus arteriosus Life-threatening if severe; seen in
Coarctation of the Aorta ... seen in Turner's syndrome ... Appears when ductus closes ... Congenital #Diagnosis #Peds ... #Pediatrics #aortic
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... Marfans, EDS ... deficit • Shock ... Dissection #diagnosis #management
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Infections BRASH ... blocking agent • Shock ... • Aortic Valve ... 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
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
• Nephritic syndrome ... Excess: • Conn's syndrome ... • Bilateral RAS ... : • Aortic coarctation ... • Unilateral RAS
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
• Sick sinus syndrome ... • Vasodilatory meds ... regurgitation • Aortic ... regurgitation • Aortic ... differential #diagnosis #causes
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
& hemorrhagic rash ... ; symptoms of shock ... Vesicular & pruritic rash ... > Inflammation causes ... #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
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... bradycardia • Sinus pauses ... Mechanical • Aortic ... Subclavian steal syndrome ... Classification #Table #Causes