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

Presentation: 
 • Plts ↓50% (nadir
Diagnosis and Management ... → Calculate 4T score ... • If 4T score ... Management: • ... #Treatment #Hematology
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Disease Activity Assessment ... Observation (FCP/CRP/Scope ... Escalate Treatment ... Persistent #5ASA #Refractory ... #Treatment #Management
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
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... for hepatic encephalopathy ... especially if this is refractory ... Delirium #Checklist #Management
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
Hepatic Encephalopathy Treatment
 • Lactulose:
    - Oral liquid, 30-45mL 2-4x/day, titrated to 2-4
Hepatic Encephalopathy ... Treatment • Lactulose ... non-absorbable) • For refractory ... Encephalopathy #Treatment ... #management #hepatology
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
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... >6 mmol/L • Hepatic ... Ascites #diagnosis #management ... #algorithm #treatment ... #hepatology