9 results
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... myalgias, HoTN, edema ... common • Imaging: CXR ... sepsis), PE, DAH, CHF ... #management #hematology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Fulminant: - Acute HF ... Low voltage Treatment ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... → no signs of CXR ... Consider cardiac ... #heartfailure #diagnosis ... #management #cardiology
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
• Onset Hours Cardio ... lymphocyte count = ALC ... at 48 hours • ALC ... prognosis • ALC ... #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Cardiac cath if ... acute coronary syndrome ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... line, stabilizes cardiac ... NOT hypertonic Amp ... caution in HTN & edema ... #Management #Treatment
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... MANIFESTATIONS: • The cardinal ... and cauda equina TREATMENT ... Guillain #Barre #Syndrome ... #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
May have typical HF ... orthopnea, PND, LE edema ... and timing with Cardio-OB ... #management #cardiology ... #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... afebrile 24-48 h and ANC ... interventional radiology ... AML (~20 %) and APL ... Oncology #HemeOnc #Diagnosis