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algorithm bacterial criticalcare hematology liver nephrology obgyn obstetrics oncology pathophysiology peritonitis spontaneous syndrome table abscess acromegaly aflp apml ascites cardiology
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
Clinical • Fever ... • Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... SBP <90, drop in ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... #management
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Diagnosis: Viral ... #Pregnancy #hepatology
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Bacterial Peritonitis DIAGNOSTICS ... if other signs (fever ... , abdominal pain ... #diagnosis #management ... #prophylaxis #treatment
Emphysematous Cystitis Epidemiology: • Usually middle-aged diabetic women • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Abdominal or flank ... consider KUB or abdominal ... ultrasound as initial ... data • Early treatment ... #management
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... and Management ... : cell count + differential ... ULN • Protein: level ... #Hepatology #SAAG
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Triggers: ATRA treatment ... Subacute-Acute: • Common: fever ... initiation • Differential ... Renal Failure Treatment ... #management #hematology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Postoperative abdominal ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Diagnosis Framework ... and Management ... Tachycardia - N/V - Abdominal ... #Diagnosis #Management
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
and Management ... peripheral (bronchial/abdominal ... Differential Diagnosis ... • Serum IGF-1 level ... #Treatment #Pathophysiology
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