Dx: Subarachnoid hemorrhage Risk factors include hypertension, smoking, polycystic kidney disease, family history, and connective tissue disorders. Subarachnoid hemorrhages are related to ruptured arteriovenous malformations, bleeding disor…
Treatment/Management of Acute Hemorrhagic Stroke (based on Sinai protocol) Labs: FS, electrolytes, CBC, coags, cardiac enzymes Radiology: CT head Maintain SBP between 160-180 and MAP <130 using labetalol, nicardipine, or clevidipine If H…
A patient presents after an episode of syncope vs seizure. Can a serum prolactin level be helpful in differentiating the cause?
Courtesy of Dr. Elikashvili. 20 month old female is BIBEMS after seizure at home just prior to presentation. Mother describes “10 minutes” of what sounds like generalized tonic-clonic movements. No h/o seizures. Child w…
A 79yoM with history of CAD s/p PCI/CABG years ago, Parkinson Disease presents with chest pain. ECG is shown below. Your ECG machine is not malfunctioning, the tech has not made a mistake, and the patient is laying calmly (no shivering or t…
