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diagnosis differential management anesthesia anesthesiology calcium checklist intraoperative adrenal associated bradycardia cardiology crisis criticalcare crystalloids elevated emergencies evaluation foamed gout
Hypercalcemia Workup and Differential Diagnosis Framework 1) Determine whether PTH-dependent 2) Assess for other hormonal causes 3) Assess for
Hypercalcemia Workup ... other hormonal causes ... uw_IMresidency #Hypercalcemia ... #Diagnosis #algorithm ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - ... Elevated PTH (High ... Hypocalciuric Hypercalcemia ... Thiazides/Lithium #Hypercalcemia ... #causes #endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... BrighamChiefs #Hypercalcemia ... #diagnosis #endocrinology
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... malignancy-associated hypercalcemia ... Hypercalcemia - ... malignancy #associated #hypercalcemia ... #Treatment #algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... #endocrinology
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... the cause & optimize ... leadingto hyperkalemia ... / Removal #Hyperkalemia ... #high
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Differential Diagnosis Algorithm ... Drug-induced • High ... Sarcoidosis • Hypercalcemia ... #endocrinology ... #causes
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... tenderness Treatment ... hyperthyroidism #causes ... #differential #endocrinology
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... Also consider: high ... myocardial infarction, hyperkalaemia ... Diagnosis #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
❹ Call for MH treatment ... • Cooling jackets ... COMPLICATIONS AND OUTLINE TREATMENTS ... with dantrolene Hyperkalaemia ... Diagnosis #Management #Workup
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