29 results
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
intralobular bile ducts causes ... Signs and Symptoms ... disease progresses ... , IgG4 related disease ... cholangitis #diagnosis #workup
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... /Mg/Phos - CBC ... as appropriate ... Trauma - Acute ... #MICU #CriticalCare
Oroya Fever
Hematologic disease caused by Bartonella bacilliformis
Restricted to the Andes highlands of Peru & Ecuador
B. bacilliformis:
Fever Hematologic disease ... caused by Bartonella ... severe hemolytic anemia ... jaundice ​• Neuro: AMS ... Fever #diagnosis #management
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... hypertension and signs ... renal bruit or signs ... Renal parenchymal disease ... #Hypertension #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
count cause hyperviscosity ... : - Neuro: AMS ... , AKI, acute limb ... >100k, + lab signs ... TLS #diagnosis #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... hyper/hypoactive, POC ... Diagnosis and Workup ... the underlying cause ... #criticalcare #
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Chronicity: • Acute ... ), RA, crystal disease ... Inflammatory, crystalline disease ... Like in this case ... rheumatology #approach #workup
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
potentially be an acute ... dysfunction • PSC ... /AMI • PUD • ... aneurysms • Acute ... Differential #Diagnosis #gastroenterology
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura

Activity of von Willebrand factor-cleaving protease activity - A
hallmark for the disease ... result in severe anemia ... Haptoglobin - Low as ... from ischemia WBC ... ThromboticThrombocytopenicPurpura #Diagnosis #Workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... Ameliorate increased work ... #Shock #Management ... #CriticalCare