17 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential Diagnosis ... water loss, Serum Sodium ... Polyuria scheme) e.g ... mannitol, glucosuria Low ... Hypernatremia #Nephrology
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
- Differential Diagnosis ... Algorithm Polyuria ... solute intake (e.g ... nutrition), Azotemia LOW ... #Algorithm #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome Diagnosis ... liver disease (e.g ... responsiveness (the latter ... type 2 HRS) • Low ... #HRS #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
- Differential Diagnosis ... Algorithm Reduced ... EABV (e.g., CHF ... IntercellularShift #Nephrology ... #Algorithm #Causes
Post-Hypoxic Spinal Flutter on Physical Exam

Post hypoxic spinal flutter - spontaneous and sternal compression inducible rhythmic
hypoxic spinal flutter ... day 3, surface EMG ... show any surface EMG ... PhysicalExam #Legs #clinical ... #video #neurology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Clinical Manifestations ... unit activity on EMG ... of diazepam • EMG ... TPO, TTG, etc EMG ... Management #treatment #neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
• Give high flow ... infusion of 2 mcg ... IV Thiopental Sodium ... seizure #Management #neurology ... pediatrics #peds #algorithm