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management differential gitelman nephrology acromegaly alkphos ammonia bilirubin checklist chemistry comparison cppd criticalcare disorders encephalopathy gout hepatology hyperammonemia hypokalemia ketones
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... glucose, fluid, salt ... - Metabolic ... #Syndrome #diagnosis ... #pathophysiology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... from hormonal and metabolic ... abnormalities before refeeding ... #Differential #Diagnosis ... #Pathophysiology
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism AST and ALT: • AST: liver
and Bilirubin Metabolism ... insult Bilirubin metabolism ... #ASTALT #AlkPhos ... Bilirubin #Hepatology #Pathophysiology ... #Diagnosis #LFTs
Gitelman Syndrome Pathophysiology Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Pathophysiology ... autosomal recessive salt-losing ... → Hypokalemia Metabolic ... #Pathophysiology ... #nephrology #diagnosis
Ketosis Disorders Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
bodies are a normal metabolic ... development of re-feeding ... syndrome ... #differential #diagnosis ... #management #endocrinology
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
and decreased metabolism ... Multiple myeloma, CML ... rare): - Reye syndrome ... deficiency #Ammonia #Pathophysiology ... #Differential #Diagnosis
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
abdominal compartment syndrome ... or postpyloric feeding ... Pain control - Start ... May consider metabolic ... Pancreatitis #Checklist #Diagnosis
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Hypogonad (50%) • Metabolic ... malignancy Pathophysiology ... Beckwith Wiedemann syndrome ... levels to <1ng/mL ... #Management #Endocrinology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Etiology: • Pathophysiology ... factor PRES Diagnosis ... Anterior circulation: MCA ... Differential Diagnosis ... Drug toxicity, Metabolic
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
hypomagnesemia • Metabolic ... Hypochloremic metabolic ... acidosis (RTA)) • Refeeding ... #diagnosis #nephrology ... #management #pathophysiology
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