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diagnosis differential management causes intercellularshift lysis neurology pediatrics tls tumor adrenalmass emesis encephalopathy endocrinology epilepticus hematology kdigo leukostasis malignant oncology
Tumor Lysis Syndrome An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... treatments) occur in high ... with Ca only if EKG ... Walid Malki, MD, MS ... #Tumor #Lysis #Syndrome
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Differential Diagnosis Algorithm ... Releasing Carcinoma (e.g ... Other Source (e.g ... Polycystic Ovarian Syndrome ... Hypertension +/- Hypokalemia
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... • Fanconi's syndrome ... Protein deposition (eg ... Amyloidosis) ... #Proteinuria #Nephrology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... : - Neuro: AMS ... Spontaneous if high ... hydration - Hyperkalemia ... unless worrisome EKG
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment algorithm ... management of acute hyperkalemia ... monitor 12-lead ECG ... treatment #potassium #high ... #nephrology #KDIGO
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm Hepatobiliary: • Acute Hepatitis • Acute
Differential Diagnosis Algorithm ... • Uremia • Hypercalcemia ... Other: • Sepsis (e.g ... Carbon Monoxide High ... #Causes #Peds #
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Cell Lysis (e.g ... Tumor Lysis Syndrome ... IntercellularShift #Nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Encephalopathy Syndrome ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... Seizures: Treat with AEDs ... diagnosis #management #neurology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... infusion of 2 mcg ... seizure #Management #neurology ... #pediatrics #peds ... #algorithm
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