619 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
birefringent crystals Treatment ... Acute and chronic treatment ... • Chronic - Urate ... When to start Urate ... Radiographic Damage 4) Urate
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
chest symmetry, rate ... • Check heart rate ... • If heart rate ... • If heart rate ... • If heart rate
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... hypotension is treatment ... response -> cognitive pause ... toxicologic - 2nd cause ... #Differential #Causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... - Control rate ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea: Respiratory rate ... Hyperpnea: Respiratory rate ... PVFM) Cardiac Causes ... Hematologic Causes ... acidosis of any cause
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
mmol/L - Consider cause ... and if treatment ... - 6.4 mmol/L - Treatment ... scenario, ECG and rate ... Prevention - Consider cause
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
morphologies: • Rate ... • Oxygen • Treatment ... condition • Rate
ILD of Known Cause - Differential Diagnosis
Exposure:
 • Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 • Treatment Related:
ILD of Known Cause ... Pneumonitis • Treatment ... BrighamChiefs #ILD #Causes
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Diagnosis and Treatment ... Hyponatremia is usually caused ... Treatment: Treatment ... the underlying cause ... correction (max rate