A Week in Review: April 9th - 14th

Monday: Back to Basics - Hypercalcemia

Presentation: malaise, weakness, altered mental status, nausea vomiting

Diagnosis: Total Ca > 10.5

Treatment: Fluid Resusitation, Furosemide, steroids, bisphosphonates

Tuesday: Advanced Practice - Pitfalls in Thyroid Storm 

Remember thyroid storm is clinical diagnosis, don't have to wait for TSH

Search for the trigger

Consider antibiotics early

Wednesday: What's the Diagnosis

Friday: Critical Care - The Adrenal Trial

A great rerview of the recent ADRENAL trial in NEJM reviewing corticosteroids in septic shock.

No difference in mortality at 90 days