12 results
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... hepatorenal syndrome) Intrarenal ... disease - Hypertensive ... tract infection • Medications ... prostatic hypertrophy (BPH
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
Antihypertensive Medications ... • Supine HTN, BPH ... Antihypertensive #Medications ... #Hypertension # ... Comorbidities #pharmacology
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
pharmacotherapy trials in BPD ... following outcomes: BPD ... symptoms, mental ... the UK national BPD ... #BPD #Borderline
When to Evaluate for Secondary Causes of Hypertension
1. Severe or resistant HTN
2. Acute rise/lability in BP
3.
Secondary Causes of Hypertension ... Acute rise/lability ... in BP 3. ... BCM_InternalMed #Secondary #Hypertension ... #differential #indications
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... midodrine + albumin Intrarenal ... Foley catheter • Medications ... → Stop meds • BPH ... EricsMedicalLectures/ #AKI #Acute
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
hours or longer/BP ... Neurological symptoms ... Electrolyte abnormality, Medication ... patients - 10-25% BP ... overaggressive BP
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
serotoninergic medications ... mildly elevated HR/BP ... Pressor support for hypotension ... then 2 mg q2h if symptoms
Therapy for Benign Prostatic Hyperplasia (BPH) 
5 Alpha-Reductase inhibitors
 • Flnasterlde and dutasterlde act by reducing
Prostatic Hyperplasia (BPH ... of BPH, such as ... #Hyperplasia #BPH ... #Prostate #Medications ... #Pharmacology
Hypertension Medications that Require Tapering to Discontinue: Beta Blockers + Clonidine
Beta-blockers and clonidine (alpha2 agonist) are
Hypertension Medications ... used to treat hypertension ... cause the patients BP ... #Pharmacology # ... Hypertension #Management
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... Similar symptoms ... Assc symptoms include ... of blood smear, acute ... myalgias and possibly hypotension