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diagnosis blood liver oncology product reactions admissions admitting algorithm apml bacterial bpap calling causes checklist classification coagulation consultation cpap dic
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
for admission (if ... different) PMHx: - Focus ... disease work up ... of hypotension, shock ... Calling #Referral #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... later - Half-life ... diagnosis #algorithm #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Presentation in septic shock ... be considered if ... dysfunction or liver ... #hepatology
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... mortality BPAP - Bi-Level ... status • Won't Work ... #indications #criticalcare ... #management
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
Clinical Management ... for hemoglobin level ... If volume restoration ... #Shock #Management ... #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... history Initial Work-up ... bedside echo is never ... #criticalcare
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
high risk if WBC ... Subacute-Acute: • Common: fever ... sepsis), PE, DAH, CHF ... APML #diagnosis #management ... #hematology #oncology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
dysfunction (16%) • Shock ... DIC • Severe Liver ... dL) - Heparin if ... causes #treatment #management ... #hematology
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
S/sx: Fever, flank ... thrombocytopenia, may be life-threatening ... patients with CHF ... Transfusion #diagnosis #management ... #hematology #reactions
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
S/sx: Fever, flank ... thrombocytopenia, may be life-threatening ... patients with CHF ... Transfusions #diagnosis #management ... #hematology #reactions
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