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management treatment diagnosis nephrology renal replacement therapy hyponatremia ibd managment modalities rheumatology rrt biostatistics calculations cardiology continuous disease disorders epidemiology
Renal Replacement Therapy (RRT) Modalities RRT Modalities in the ICU: • IHD (Intermittent HD): 3-5 hr
machine CRRT ... Modes: • SCUF ... dialysate flow (both convection ... fluid removal and correction ... #Modes #modalities
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
HD machine • CRRT ... machine CRRT Modes ... dialysate flow (both convection ... fluid removal and correction ... #Modes #modalities
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Replacement Therapy (CRRT ... Overview Types of CRRT ... pericarditis) CRRT ... solutes + ↑ rapid correction ... Replacement #Therapy #CRRT
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
The target for correction ... hypertonic saline correction ... FE Urate post correction ... Volume • Consider correction ... • Calculate correction
Hyponatremia Treatment Algorithm CHF, Cirrhosis - Fluid restriction SIADH - Fluid restriction - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... CAREFUL for over-correction ... Hyponatremia #Treatment #Algorithm
Management of adult IgA Vasculitis (Henoch-Schönlein purpura) - Treatment algorithm for the management of IgAV patients
purpura) - Treatment algorithm ... the absence of correlation ... Rheumatology #Vasculitis #Algorithm
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... Identification and correction ... #Tachycardia #Algorithm
USMLE Epidemiology and Biostatistics Summary Meta-Analysis: pools data from several studies (greater power), limited by quality/bias of
mean = median = mode ... systematic error Correlation ... perfect positive correlation ... perfect negative correlation ... , 0 = no correlation
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue after correction ... modifications Algorithm ... #Fatigue #IBD #Algorithm
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
glands, lymph nodes ... kidneys) • Strong correlation
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