1506 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
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Monosodium urate ... predominance • Urate ... cortical bone Treatment ... • Acute gout treatment ... diagnosis #management #treatment
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
When to Start Urate ... or urolithiasis Urate ... Gout #Management #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
FE Urate post correction ... Calculate correction rate ... give specific treatment ... Management #algorithm #treatment
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
morphologies: • Rate ... • Oxygen • Treatment ... condition • Rate
Atrial Flutter - Summary Sheet

 • Electrophysiology - Typical and Atypical Flutter
 • Treatment
Atypical Flutter • Treatment ... Ablation - Rate
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
• No Treatment ... No Treatment. ... 3:1 block) • Treatment ... QRS • Atrial rate ... , wide QRS • Treatment
Thromboelastogram Interpretation
Reaction Time (R Value):
 - Time till initiation of fibrin clot
 - Treatment: FFP, protamine
K
fibrin clot - Treatment ... interaction - Treatment ... α-angle: - Rate ... strength of clot - Treatment ... after MA/MCF - Treatment
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... - Control rate ... - Control rate ... - Control rate ... #Tachycardia #Treatment
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Consider cause and if treatment ... - 6.4 mmol/L - Treatment ... scenario, ECG and rate ... /L - Emergency treatment ... management #algorithm #treatment