8190 results
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
the metabolic clinic ... low-density lipoprotein (LDL ... Treatment with LDL ... #NEJM #clincal #
Mechanism of Action of Bile Acid Sequestrants
Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
Expression → ↑ VLDL ... /Secretion → ↑ LDL ... Production → ↑ LDL ... Receptors → ↑ LDL ... Clearance → ↓ Plasma LDL-C
Abnormal Lipid Profiles - Differential Diagnosis Algorithm

Increased Cholesterol and Triglycerides 
 - Genetic Causes
Hypothyroidism Decreased HDL ... Androgens Increased LDL ... ApoB-100 • LDLr ... • Familial LPL
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
PMN > 250 • Treatment ... protein > 1 g/dL ... glucose < 50, LDH ... at least 2): 1) Clinical ... Positive Culture • Treatment
Risk factors for atherosclerosis

Modifiable risk factors:
 - Dyslipidemia (elevated LDL, decreased HDL)
 - Tobacco smoking
 -
Dyslipidemia (elevated LDL ... , decreased HDL)
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Syndrome (TLS) and Treatment ... acid ≥ 8.0 mg/dL ... Clinical TLS: ... hypocalcemia Treatment ... Hyperkalemia - Standard treatment
Luftsichel Sign in Left Upper Lobe Collapse - Chest X-Ray

An upper lobe collapse causes the collapse
Sometimes the LLL ... the collapsed LUL ... the air in the LLL ... Luftsichel #Sign #LUL ... #Collapse #clinical
Ranson's Criteria in Pancreatitis 
At Admission: 
 - Age > 55 years 
 - WBCs >
Glucose > 200 mg/dl ... - LDH > 350 ... BUN rise > 5 mg/dl ... Calcium < 8 mg/dl
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Serum uric acid, LDH ... Uric acid ≥ 8 mg/dL ... Calcium ≤ 7 mg/dL ... of the above Treatment ... of Clinical TLS
Prescription Fish Oils
Prescription fish oils, Lovaza, and Vascepa, are commonly used for treatment of hypertriglyceridemia (TG
commonly used for treatment ... of increasing LDL ... without effect on LDL