Mnemonic for Chest X-ray in Heart Failure?,”A mnemonic to look for signs of heart failure on the CXR is ChECK, which stands for: – Cephalization (dilation of the pulmonary vessels radiating upward from the hilum due to fluid overload).- Effusions (look for blunting of the costophrenic angles).- Cardiomegaly (heart shadows occupying >50% of the thoracic diameter).- Kerley B lines (horizontal, peripheral white markings

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Correcting hypernatremia?,”1) Stabilize patient with normal saline (0.9%) until clinically euvolemic.2) Calculate his total body water (TBW).TBW = % water * weight (kg); where % water in males = 0.6; females =0.53) Calculate the effect of 1 L of the selected fluid on his current serum Na.Change in serum Na = (Infusate sodium – serum sodium)/(TBW+1 L)4) Divide this into the total amount Na is desired to be lowered over 24 h (i.e., 10-12 mEq/L).5) Account for obligatory 24-hour water loss of about 1.5 L.6) Convert to mL and divide by 24 for rate/hour.Electrolytes should be checked frequently, every 6-8 hours

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Vertebral Compression Fracture?,”The most common cause of nontraumatic VCF is osteoporosis, which is characterized by progressive loss of mineral bone density and loss of normal body architecture. VCF can also be due to osteomalacia, which is usually caused by inadequate levels of vitamin D, Ca2+, or PO4- and results in decreased bone mineralization and increased fracture risk. Other risk factors for VCF include trauma, infection, malignancy with bone metastases, and metabolic abnormalities (eg

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