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clinical diagnosis ultrasound hematology sign differential a4c algorithm echocardiogram gallbladder management pediatrics peds phtn pulmonary symptoms syndrome tamponade abdominal acidosis
Hemolytic Anemias - Differential Diagnosis Algorithm Signs of anemia and hemolysis: • ↓ Haptoglobin • ↑ LDH
Hemolytic Anemias ... Diagnosis Algorithm Signs ... of anemia and hemolysis ... • Extrinsic RBC ... • Intrinsic RBC
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
blasts and high WBC ... Triggers: Diuretics, PRBC ... fever - ACS, AKI ... • Lab values: WBC ... >100k, + lab signs
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
: • Vit B12 - aka ... Worsening macrocytic anemia ... wt loss • If anemia ... • Labs: - CBC ... , PBS - anemia,
Laceration bleeding into a water bath on POCUS Laceration bleeding into a water bath! Taking name suggestions.
water bath on POCUS ... Silly string sign ... Cheese whiz sign ... Lateral Water Bath aka ... bleeding #waterbath #POCUS
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 Community Acquired Pneumonia - Presenting Features • History in favor of CAP: Dyspnea, Cough, particularly if
Egophony • Labs: ↑ WBC ... (rarely WBC when ... infiltrates, Confusion, Uremia ... ), Leukopenia (WBC ... Pneumonia #diagnosis #signs
Major Clinical Trials and Evidence Summary for Transfusion Thresholds in Critical Care TRICC - NEJM 1999 -
NEJM 1999 - ICU FOCUS ... studies show that PRBC ... ALI is the deadliest ... VisualAbstract #Trials #PRBC
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Serum PO4 -> decr RBC ... hemolysis - anemia ... pathophysiology #symptoms #signs
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
Albumin ≤3.0 g/dL, anemia ... ≥450,000/mm3, WBC ... and urine ≥10 WBC ... clinical and lab signs
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis Malar rash: • A
elevated rim (In POC ... not be seen try focus ... migrans: • Target sign
Chronic Lymphocytic Leukemia - Summary Cancer affecting lymphocytes/Mature B cell neoplasm • Lymphocytes accumulate in large numbers
Physical Exam/Signs ... Lymphocytosis on CBC ... • Neutropenia, anemia
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