Consider AKI in anyone with acute illness aged >65y, a history of kidney disease, those on nephrotoxic drugs, and patients who are systemically unwell (e.g. with sepsis).

Mixing sodium bicarb (NaHCO3) with calcium chloride (CaCl2) would give us CaCO3, that's chalk... Your patient will have chalk sludging in his vessels.

Same applies for calcium gluconate

You also shouldn't give
Ceftriaxone & calcium products simultaneously or in the same IV line (especially for pediatric patients, even more especially for neonates). The calcium will crystalize and accumulate particularly in the lungs and kidneys. Guidelines differ, but it's safest to wait for about 48 hours before giving the other substance.

Untreated septic arthritis, which lead to destruction of the joint and bones

Ironically, the patient has a club foot deformity in the other foot, so he practically lost his ability to walk by now.

This one was taken two months ago

This one was taken a few days ago, notice the bat wing sign of pulmonary edema

Another bat wing

The gaze in seizure (temporal vs extratemporal), syncope, and in PNES

PNES: Psychogenic Non-Epileptic Seizure, also known as pseudo-seizure

Tongue biting is usually lateral in real seizures, but medial in PNES

Video-EEG monitoring is the “gold standard’’ for diagnosis of PNES. This is in contrast to other psychogenic symptoms, which are almost always a diagnosis of exclusion.

PNES should be suspected in all patients with frequent seizures despite taking medications. The combined electroclinical analysis of the clinical semiology being clearly incompatible with epileptic seizures and the ictal EEG being normal allow a definitive diagnosis in the vast majority of cases. Limitations of video-EEG monitoring include the fact that ictal EEG may be negative in some partial seizures or uninterpretable if movements generate excessive artifact.

Semiology of PNES include persistent eye closure at the onset of the attack, gradual onset; side-to-side head movements; pelvic thrusting; opisthotonic posturing; stuttering; weeping; pseudosleep; discontinuous (stop and go), irregular, or asynchronous (out of phase) activity; and gradual onset or termination.