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Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Factors: • SICU ... > MICU, ♀, ↑Age ... → Calculate 4T score ... • If 4T score ... #Treatment #Hematology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... for hepatic encephalopathy ... severe nocturnal agitation ... Delirium #Checklist #Management ... #Treatment #MICU
Our approach to the diagnosis and initial management of patients with suspected HIT. Our approach is
diagnosis and initial management ... primarily on clinical assessment ... and to adjust treatment ... #Hematology #HIT ... #Heparin #Induced
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
Initial assessment ... NAFLD fibrosis score ... with values <1.3 ... algorithm #Referral #Management ... #Hepatology
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
Diagnosis and Management ... Chronic Management ... Avoid meds that ... though safety assessment ... #treatment #hematology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
+ Etiological Assessment ... +++ (Plt, Hb), Hepatic ... of emergency, ICU ... Lymphohistiocytosis #diagnosis #management ... #rheumatology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
disease (Child-Pugh score ... C) Assessment: ... prevent or treat hepatic ... Cirrhosis #diet #management ... #hepatology #pathophysiology