Jan 19, 2026
Contributor: Aaron Lessen, MD
Educational Pearls
BRASH Syndrome:
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Bradycardia
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Renal Failure
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AV Nodal Blockade
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Shock
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Hyperkalemia
Clinical Features:
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Profound bradycardia and shock in patients on AV nodal blockers:
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Commonly, Beta Blockers or Calcium Channel Blockers
Etiology:
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Caused by an inciting...
Jan 12, 2026
Contributor: Taylor Lynch, MD
Educational Pearls:
What is tramadol and how does it work?
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Tramadol is a Schedule IV opioid analgesic used for moderate pain and is often perceived as safer than other opioids due to lower abuse potential.
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It is a prodrug with weak direct μ-opioid receptor activity.
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The parent...
Jan 5, 2026
Contributor: Aaron Lessen, MD
Educational Pearls:
The Case
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24F brought in for anxiety. Patient is tearful, not talking, and potentially hyperventilating. History from boyfriend is that she suddenly stopped talking and started crying and it was hard to understand what she was saying. On exam, patient appears anxious...