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diagnosis differential management classification hematology acidosis addiction agitation aplastic cows criticalcare delirium dementia elevation encephalopathy geriatrics hepatic hepatology icu lactate
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
MRI, iADL scale, ... neuropsychological assessment ... Alzheimer - 1st cause ... - Progressive amnesia ... Dementia - 2nd cause
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Aplastic Anemia ... • Aplastic anemia ... Toxic injury to BM ... and petechiae Causes ... Treatment:
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
Observation during assessment ... last ½ hour • 2 - nausea ... Hospital Opioid Use Treatment ... Opiate #Withdrawal #Scale ... #Buprenorphine
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... perfusion - shock->treatments ... thorough physical assessment ... before beginning treatment ... 30mmHg) - Severe anemia
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
stepwise daily assessment ... Agitation Sedation Scale ... it should not cause ... dissociative drug, it causes ... amnesia and analgesia
Causes of Neutropenia - Differential Diagnosis Neonate: - Infection - by far the most common cause -
Causes of Neutropenia ... hypertension and/or drug treatment ... replacing the BM ... Megaloblastic anemia-rare ... replacing the BM-common
Hepatic Encephalopathy Treatment • Lactulose: - Oral liquid, 30-45mL 2-4x/day, titrated to 2-4
Encephalopathy Treatment ... titrated to 2-4 BMs ... swallow) - Via enema ... For refractory cases ... Encephalopathy #Treatment
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