- When approaching patient's with vague neurological symptoms, try to localize a lesion or overriding, unifying pathology that could explain the process.
- Be prudent to identify objective neurological findings.
- Think of myasthenia gravis in patients with primarly bulbar or ocular symptoms
- Most AV Fistula bleeding can be stopped with direct manual pressure
- More complicating bleeding may require tourniquets, figure-of-eight suture or reversal/hemostatic medications
- Ongoing bleeding or hemodynamic instability requires vascular surgery consultation