12 results
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... severe clinical ... History of excessive alcohol ... hyperparathyroidism Treatment ... Refeeding #Syndrome #Nutrition
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... Treatment depends ... maintained fever CAUSES ... neurotoxicity • Alcohol ... #Differential #Causes
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
cirrhosis, severe alcoholic ... Diagnosis (Clinical ... Exclude other AKI causes ... Treatment Overview ... ., alcohol, virus
Tongue Pathology 

Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
do not require treatment ... an underlying nutritional ... immunodeficiency, is caused ... benign lesions (e.g ... and tobacco and alcohol
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... , intestinal), alcohol ... Check for IF ab Treatment ... diagnosis #management #nutrition
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... a multitude of clinical ... perfusion - shock->treatments ... before beginning treatment ... Hypoglycemia - Alcohol
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
, persons with alcohol ... persons with poor nutrition ... Clinical Presentation ... , or any other cause ... vasculitis Treatment
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis ... exclude other causes ... N-acetylcysteine - Enteral nutrition ... goal of >21 kcal/kg ... prednisolone #Alcoholic
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 • Accidental or intentional ingestion of adulterated
Toxic Alcohol Ingestion ... : Clinical Features ... methanol; rare cases ... diagnosis #toxicology #comparison ... table #management #treatment
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... toxins, including alcohol ... Rule out other causes ... tachycardia on the electrocardiogram