Author jacobi Posted on August 24, 2017August 25, 2017Categories Education, TidbitsTags , ,

Weekly Tidbits 8/26-27

Hepatorenal Syndrome ATACH-II trial: What is the optimal blood pressure control for ICH patients? Status Epilepticus Lung Cancer Immunology Therapy: Anti-PD-1 Antibodies Acetaminophen Hepatotoxicity Hepatorenal Syndrome Type 1 HRS is characterized by rapid and progressive renal impairment and is most commonly precipitated by spontaneous bacterial peritonitis (SBP).  Type 1 HRS occurs in approximately 25% of patients with SBP, despite rapid resolution of the infection with antibiotics.  Without treatment, the median survival of patients with type 1 HRS is < 2 … Continue reading “Weekly Tidbits 8/26-27”

Author jacobi Posted on August 3, 2017Format AsideCategories Tidbits, Weekend CoverageTags ,

Neurological emergency

Hydrocephalus: if you see hydrocephalus in a patient with consistent severe headaches, this could be a sign of impending herniation. Patient will need emergent relief of intracranial pressure.   Botulism: Rapidly progressive paralysis with blurry vision, sluggish pupils and diplopia. This condition is caused by an irreversible toxin and the antitoxin should be given as soon as possible, so needs high clinical suspicion. The diagnosis is by injecting patient’s serum in mice to see if it causes paralysis (takes a … Continue reading “Neurological emergency”

Author jacobi Posted on August 3, 2017Categories TidbitsTags , , ,

Syncope

1: Reflex syncope Neuro-cardiogenic (vaso-vagal), carotid sinus syndrome, situational (micturition) 2: Cardiogenic Arrhythmias – Tachyarrhythmia: WPW (especially with Afib), Brugada, Long QT syndrome, – Bradyarrhythmia: Second degree AV Block Mobitz II, Third degree AV block, Sick sinus syndrome – Structural heart disease (HOCM, LVOT obstruction, Aortic stenosis, Intracardiac tumor: Myxoma 3: Orthostatic

Author jacobi Posted on July 18, 2017August 4, 2017Format AsideCategories Education, TidbitsTags , ,

Ischemic stroke management

As soon as you identify a stroke — Call Stroke code directly by Dialing: 3-CVAT (3-2828) Goal of BP is ischemic stroke: 180/110, medications to use: Labetalol, Nicardipine TPA can be given up to 4.5 hours after the initiation of symptoms, but the benefit decreases as time passes, so if a patient is a TPA candidate try to move things as quickly as possible For patients who have contraindications to TPA, mechanical thrombectomy is another option, which is available to us … Continue reading “Ischemic stroke management”