22 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
pulmonary disease ARDS ... Diagnosis: • ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... pathophysiology #diagnosis ... #management #ards ... #criticalcare #treatment ... #respiratory #clinical
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... perform provocative tests ... in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Failure (ACLF) Clinical ... months without treatment ... Drug-Induced Liver Injury ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
proximal weakness, arms ... myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... #management #neurology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... acute cardiac injury ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... : Hyperflexion injury ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #Orthopedics #MSK
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
restored to esophagus Clinical ... retrosternal chest pain Diagnosis ... third of esophagus Treatment ... : - Treatment of ... #management #gastroenterology
Statin Induced Muscle Toxicity - Summary

Clinical Presentation:
 • Elevations of serum creatine kinase with proximal myalgia
Toxicity - Summary Clinical ... Direct muscle injury ... Risk of muscle injury ... IU/I • SAMS clinical ... #management #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Medications: K+, ACEi/ARBs ... , rhabdo/crush injury ... Cortisol+ACTH stim test ... #Management #Treatment