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

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... disease, liver ... Brain Failure Lung ... #Acute #Chronic
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... biliary, renal, lung ... concentration PET-CT ... hypergammaglobulinemia, ↑ acute ... #diagnosis #management
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
patients with chronic lung ... exercise, after acute ... thyrotoxicosis • Long-term ... #Medications #management ... #treatment #comparison
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... disease, ? ... straight cath or long-term
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... 1 — Treat the lungs ... Revascularization, treatment ... beta-blocker or calcium
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... Mississippi and Ohio River ... change in the lungs ... nails, bronchi, lungs ... Fungal #Diagnosis #Management
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Acute Hemolytic ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... binds to serum calcium ... Transfusion #diagnosis #management
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Pseudogout Summary - Calcium ... precipitates with calcium ... Pseudogout: Treatment ... ≥2 attacks • Long-term ... Rheumatology #diagnosis #management
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
- Acute Hemolytic ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... binds to serum calcium ... Transfusions #diagnosis #management
Langerhans Cell Histiocytosis (LCH)

Granulomatous Lesions comprising langerin-positive histiocytes and an inflammatory infiltrate can arise in virtually
Lungs: Cysts (esp ... Imaging: X-rays, CT ... PET-CT / MRI: Staging ... TREATMENT OPTIONS ... Histiocytosis #Diagnosis #Management