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What is the differential for central vertigo?,”Structural approach:Brain Stem – Vertebrobasilar insufficiency (50%), tumour, CVABasal ganglia – Dementia related – Parkinson’s, Lewy body, tumourWhite matter – MSDiffuse – Iatrogenic (anticonvulsants, alcohol
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Read moreWhat are stroke risk factors?,”HEADSHypertension/ hyperlipidemiaElderlyA fibDiabetes, drugs (cigarettes)Smoking, sex
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Read moreWhat are alternatives to ASA if a patient had a stroke while on ASA?
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Read moreWhat are the top 3 toxins worth measuring in an acute patient with LOC and no clear history?
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Read moreWhen can activated charcoal be used? What are the appropriate toxins? What are the contraindications?,”1 hour, but up to 2 with slow absorption drugs or extended release formulations.Can be used for most except metals and organic matter (e.g alcohols). CI – SBO, ileus
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Read moreWhen can PEG be used for a whole bowel irrigation of toxins?,”1. Heavy metals
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Read moreWhat are the common GI decontamination methods for toxins?
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Read moreWhat are the enhanced elimination methods for toxins? Which toxins are they best for?,”1. Activated charcoal (multiple doses, good for drugs with enterohepatic circulation) – PHENOBARBITAL2. Urine alkalinization (keeps acids ionized, preventing reabsorption in urine) – ASA3. Hemodialysis – ASA, ALCOHOLS
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Read moreWhat is the appropriate management of alkali ingestion if the patient is asymptomatic?,”Children or suicide attempt – esophagoscopy
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