17 results
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
& hemorrhagic rash ... disseminates in blood ... fetal blood vessel ... Vesicular & pruritic rash ... #Immunization #peds
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... and gut, which causes ... #clincial #peds ... #adrenal #calcifications ... #infant #NEJM #
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotension Blood ... • Vasodilatory meds ... • Adrenal insufficiency ... Anaphylaxis • Adrenal ... differential #diagnosis #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... anaphylaxis, toxins/meds ... O2 delivery • PE ... diagnosis #management #Overview ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... anaphylaxis, toxins/meds ... O2 delivery • PE ... diagnosis #management #Overview ... #differential #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... visits, Ambulatory blood ... multi-drug resistance) Renal ... • Bilateral RAS ... • Unilateral RAS
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... ), RV Failure (PE ... Toxins (CCB, BB, BRASH ... Failure, Endocrine (adrenal ... albumin, trauma), Renal
Assessment of diabetic control:
 - Any episodes of hypoglycaemia, diabetic ketoacidosis, hospital admission? 
 - Is
- Diary of blood ... General overview ... each visit - Blood ... centiles) - Renal ... primarycare #DM1 #Peds
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Coagulation (DIC) Overview ... ABO incompatible blood ... Bleeding (64%) • Renal ... Treat primary cause ... Coagulation #diagnosis #causes
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Syndrome (PRES) Overview ... Hypertensive emergency, Blood ... elevated white blood ... the underlying cause ... until cause identified