@shelbycarr on GrepMed

Summary Table of how the 4 types of shock affect the circulatory system: - Hypovolemic - Cardiogenic - Distributive - Obstructive #Diagnosis #Management #Types #Shock #Comparison #Table #Hypovolemic #Cardiogenic #Distributive #Obstructive

Inpatient SOAP Presentation and Note Template • Chief Complaint/Concern • Subjective • Active Past Medical History • Medications • Objective - Exam - Labs - Imaging - Other studies • Assessment and Plan - [Insert problem, chronicity, trajectory] - Chronic/Resolved Dr. Satya Patel @SatyaPatelMD Pocket Card Resources: https://bit.ly/pocketcardresources #Inpatient #SOAP #Note #SOAPNote #Template

Inpatient History & Physical (H&P) Presentation and Note Template • Chief Complaint/Concern • History of Present Illness • ER Course • Past Medical History • Past Surgical History • Medications • Allergies • Family History • Social History • Exam • Labs • Imaging • Other studies • Assessment and Plan - [Insert problem, chronicity, trajectory] - Chronic/Resolved Dr. Satya Patel @SatyaPatelMD Pocket Card Resources: https://bit.ly/pocketcardresources #Inpatient #History #Physical #HP #Note #Template

Acute Coronary Syndrome - Management Algorithm • STEMI • NSTEMI (Troponin Positive) / Unstable Angina (UA, Troponin Negative) Management: • PCI • Fibrinolysis • Immediate Medical Therapy • Optimize Medical Therapy Matthew Ho, MD PhD @MatthewHoMD #Acute #Coronary #Syndrome #ACS #Management #Algorithm #cardiology

Acute Coronary Syndrome NICE Guidelines 2021 - BMJ #Acute #Coronary #Syndrome #ACS #cardiology #diagnosis #management #NICE #Guideline #2021 #BMJ #ACS

Central Nervous System Pharmacology - Somatic and Autonomic Receptors Somatic • Rocuronium -> Non-depolarizing (reversible competitive inhibitors) • Succinylcholine -> Depolarization • Neostigmine - blocks action AchE = increases the levels of Ach (reversal of nondepolarizing agents) • Atropine -> reversible competitive antagonist (anti- cholinergic) Autonomic • Parasympathetic “Rest and Digest” - Ach -> Nicotinic Receptor -> Ach -> Muscarinic Receptor • Sympathetic “Fight or Flight” - Ach -> Nicotinic Receptor -> NE -> Adrenergic Receptor • Sympathetic Innervation of Adrenal Medulla - Ach -> Adrenal Medulla Nicotinic Receptor -> Epinephrine released into blood -> Adrenergic Receptor - Amy Chung, MD, MSc @AmyChung #Central #NervousSystem #CNS #Somatic #Autonomic #Receptors #Pharmacology

Peripheral Nervous System Disorders 1 Anterior Horn Cell 2 Spinal Roots and Nerves 3 Peripheral Nerve—Mono-neuropathy 4 Peripheral Nerve— Polyneuropathy 5 Neuromuscular Junction 6 Muscle #Peripheral #PNS #Lesions #Nerve #Neuropathy #Neurology #Localization #Diagnosis

Central Nervous System Disorders - Patterns of Localization - Cerebral Cortex, Brainstem, Spinal Cord, Subcortical, Cerebellum #CNS #Patterns #Localization #Neurology #Cortex #Diagnosis

Second Generation Antipsychotics: Mechanisms and Side Effects (Atypical Anti-Psychotics) - Examples: Clozapine, Olanzapine, Quetiapine, Risperidone, Zotepine, Paliperidone, etc. Note: Receptor binding affinities are highly variable within the class making for unique therapeutic and side effect profiles. Clozapine is considered to be the most efficacious, but also has the most side effects including agranulocytosis (0.5-2%). As such, it is considered 2nd line treatment and the patient's complete blood count must be monitored closely. • Dopamine D2 Receptor Antagonism - Block action of DA on D2 receptors throughout the brain • Serotonin 2A Receptor Antagonism - Block action of 5-HT on 5-HT 2A receptors throughout the brain • Serotonin 2C Receptor Antagonism - Clozapine, Olanzapine, Quetiapine • Acetylcholine MI Antagonism - Block ACh action throughout body (ex. Gut, mouth, eyes, brain) • alpha1-Adrenergic Antagonism in Vasculature - Arteriolar smooth muscle dilation • Histamine H1 Receptor Antagonism - Block Histamine action throughout body • Cardio-metabolic effects - Mechanism unknown #AntiPsychotics #SecondGeneration #Mechanisms #SideEffects #pharmacology #diagnosis #psychiatry

The Dementia Umbrella Dementia is an umbrella term that describes a collection of symptoms that are caused by disorders affecting the brain. It is not one specific disease. Dementia affects thinking, behavior and the ability to perform every day tasks, and brain function is affected enough to interfere with the person's normal social or working life. The most common type of dementia is Alzheimer's disease. #Dementia #Umbrella #Differential #Diagnosis #Types #Subtypes #Classification #Geriatrics