17 results
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
less than 200 cells ... present in 15% of cases ... Antimicrobial treatment ... recovery (CD4-cell ... Demyelinating disease caused
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
invades mononuclear cells ... Infected cells - ... Behavioral • Motor dysfunction ... Treatment: • HAART ... treatment • Cognitive
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Schistocytes, helmet cells ... deficiency) • HIT ... + Bleeding Treatment ... Treat primary cause ... #treatment #management
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
mmol/L - Consider cause ... Shift K+ into cells ... Insulin–Glucose IV ... Prevention - Consider cause ... Hyperkalemia #management #algorithm
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... 12 000 or <400 cells ... oral antibiotic treatment ... evidence of organ dysfunction ... including those caused
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Release from blast cells ... • Induce blast cell ... • Steroids: IV ... severe APLS, organ dysfuxtion
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Pleocytosis > 100 cells ... • Infectious causes ... simplex virus, HIV ... Transverse Myelitis Treatment
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Causes of Fever ... Encapsulated Bacteria Cell ... jirovecii • CNS ... or Neutrophil Dysfunction ... #Causes #Hematology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
ED Treatment of ... possible ectopic vs ... pregnancy related cause ... Hemorrhage control • IV ... cancer, liver dysfunction
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
equina syndrome (CES ... bowel and sexual dysfunction ... - Emergency Causes ... cord infarct • HIV ... axial T1 and T2 Treatment