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Acute Severe Ulcerative Colitis (ASUC) - IBD Algorithm

By Dr. Wade Billings @wabillin

#Acute #Severe #Ulcerative #Colitis #ASUC
Acute Severe Ulcerative ... Colitis (ASUC) ... - IBD Algorithm ... Ulcerative #Colitis #ASUC ... #IBDAlgorithm #
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... uncharacterized fevers ... suggested if: - ANC ... (particularly complex ... Classification #Fever
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... Given several fluid ... frequently benign causes ... consider serious causes ... RJonesSonoEM #Complex
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
categories Lactate levels ... the patient’s complete ... - Seizures - Severe ... Reduced tissue perfusion ... < 30mmHg) - Severe
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
if patient has severe ... hours • Check levels ... after infusion ... SIADH — look for cause ... Hyponatremia #Management #algorithm
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... either due to a diffusion-perfusion ... < 96% detects severe ... Arterial blood gas (ABC ... HPS features - Complete
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
1): • Herpes simplex ... • Headache • Fever ... Photophobia • Nausea ... , photophobia, nausea ... • Conjunctival suffusion
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... afebrile 24-48 h and ANC ... Treat underlying cause ... ICANS: altered level ... , SOB, pleural effusions
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
decrease in HIV-1 RNA level ... infiltrates, pleural effusions ... granulomatous nephritis, fevers ... unintentional weight loss, nausea ... for IRIS with severe