Academic Day Seminars

ADS – Atrial fibrillation

This was a great ADS about all things electrical about the heart. Below are some tidbits I picked up: Afib ECG features: Loss of distinct P waves Chaotic activity of atria Irregular R-R intervals Narrow QRS complex Afib has abnormal electrochemical activity causing ectopic beats: enhanced automaticity, early after depolarization and delayed after depolarization Classification… Continue reading ADS – Atrial fibrillation

Academic Day Seminars

ADS – Acute Asthma

Some of my notes about acute asthma management (aka status asthmaticus): PRAM score is composed of: O2 saturation on room air, air entry, wheezing, suprasternal indrawing, scalene contractions/retractions (seen on the neck). Salbutamol: MDI are at least as effective as nebulizers No difference in hospital admissions, PEF, or FEV1 at 30 minutes Shorter length of stay in… Continue reading ADS – Acute Asthma

Academic Day Seminars

ADS – Complications of Liver Disease

This was a complicated but interesting lecture on the complications of liver disease. My co-residents Alex and Nina did a great job explaining all the different sequale of liver disease! Below is my summary of the conditions discussed. Cirrhosis: chronic hepatocellular injury leading to progressive fibrosis Decompensated cirrhosis: presence of any major complication: Variceal hemorrhage Ascites Spontaneous… Continue reading ADS – Complications of Liver Disease

Academic Day Seminars

ADS – Dialysis Modalities and Drug Dosing

This was an amazing ADS to have a better understanding about the mystery that is renal impairment, dialysis and renal drug dosing! A practical approach to dose adjustment in renal impairment: Obtain patient history and relevant info Estimate GFR (or consider impact of dialysis) Review current medications Create individualized dosing regimen Monitor for efficacy and… Continue reading ADS – Dialysis Modalities and Drug Dosing