7483 results
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Pathogenesis and clinical ... History of alcohol abuse ... Constipation - MSK
Ataxic gait (Spino-cerebellar ataxia)

#Ataxic #gait disorders occur due to dysfunction of the #cerebellum, the part of
chronic alcohol abuse ... cerebellar type (MSA-C ... #clinical #video
Elder Abuse
Caregiver 
• Substance abuse 
• Mental illness 
• Financial dependence on elder 
• Unemployed 
•
Elder Abuse Caregiver ... • Substance abuse ... ratios #Elder #Abuse
Suspected Child Abuse and Neglect (SCAN)
#Peds #Pediatrics #ChildAbuse #SCAN #Neglect #Suspected #Screening #Overview
Suspected Child Abuse
Standardized Physical Abuse Guideline
<6 months of age
 • Social work consult
 • Skeletal survey
 • Head
Standardized Physical Abuse ... #Physical #Abuse
Historical Indicators of Pediatric Physical Abuse:
- No/vague explanation for a significant injury
- Important detail of the
Pediatric Physical Abuse ... History #Physical #Abuse
Peripheral Blood Smear Analysis
Hypochromia
Megaloblastic Anemia
Schistocytes: Microangiopathic hemolytic anemia (e.g. DIC, TTP, HUS)
Microspherocytes: Autoimmune hemolytic anemia
Sickled red
Thalassemia, Alcohol abuse ... interpretation #clinical
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Parkinson's, MS) ... Antipsychotics) • Drug Abuse
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
lactulose, Laxative abuse ... Secretory laxative abuse
CERTA Opioid Alternatives

Opioid Alternatives for Abdominal Pain (traumatic, non-traumatic), Back Pain, Burns, Renal Colic, Dental Pain,
Pain, Headache, MSK ... Caution with the abuse