12 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... Brain Failure Lung ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... components of the algorithm ... #Diagnosis #Management ... #Pediatrics #Peds ... Infant #StepByStep #Algorithm
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... of Acute Exacerbation ... CBC, vitamin D level ... ventilated • CXR, Lung ... #treatment #pulmonary
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... • Caution with long-term ... dosing given risk ... #Colitis #UC #Management ... #treatment #IBD
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... Medications → Stop meds ... #management
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
on ABx) → Acute ... mucus, Abd pain, Fever ... immunocompromised, IBD) • ↑Risk ... Lowest Risk: Tetracyclines ... #IDSA #gastroenterology
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... inflammatory response Risk ... not possible • Ultrasound ... drug failure • Risk ... Gout #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... and/or digoxin level ... 1 — Treat the lungs ... (no B-lines on ultrasound ... Revascularization, treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... change in the lungs ... nails, bronchi, lungs ... Fungal #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... Cataract Plan for Meds ... unless prior heart/lung ... medical and surgical management