12 results
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
History of excessive alcohol ... overload) Other Symptoms ... Hemolysis • Delirium ... hyperparathyroidism Treatment ... Differential #Diagnosis #Pathophysiology
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... - History of alcohol ... Ataxia, Coma, Delirium ... Syndrome #diagnosis #pathophysiology ... #symptoms #signs
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Phosphate Physical Symptoms ... pain Psychiatric Symptoms ... Disorientation, Delirium ... Hyperparathyroidism #diagnosis #endocrinology ... Secondary #Tertiary #pathophysiology
Thyrotoxic Periodic Paralysis - Illness Script
 • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
exposure, infection, alcohol ... and menses • Pathophysiology ... thyroid hormone • Symptoms ... hours-days duration +/- symptoms ... or high T3 • Treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
hypoalbuminemia • Consider refeeding ... nutrients • TPN for treatment ... and vasomotor symptoms ... excluded limb • Treatment ... metronidazole • Alcohol
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Withdrawal Symptom ... Minor Withdrawal Symptoms ... vital signs • Delirium ... diaphoresis) Treatment ... AWS #diagnosis #treatment
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Signs/Symptoms/Complications ... • Early: decr feeding ... #21HydroxylaseDeficiency #21OHD #pathophysiology ... #genetics #endocrinology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
vomiting following alcohol ... binge, Alcoholic ... melena - Other GI symptoms ... : - Treatment of ... diagnosis #management #gastroenterology
Alcohol Withdrawal: Clinical Findings and Complications
The onset of alcohol withdrawal generally begins 6-24 hours after the
Alcohol Withdrawal ... -> potentially Delirium ... however can enter Delirium ... • Delirium Tremens ... #Pathophysiology
Pituitary Mass Effects - Pathogenesis and Clinical Findings
 • Pituitary turnors are almost always a benign
adenomas that require treatment ... Signs / Symptoms ... #SideEffects #endocrinology ... mnemonic #GLFTAP #pathophysiology