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diagnosis algorithm hematology product reactions alcoholic antinxp2 antinxp2dm crisis dermatology dermatomyositis differential endocarditis epilepticus hcq hepatitis hepatology hydroxychloroquine levels lupus
Hydroxychloroquine Serum Measurement in SLE • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
Hydroxychloroquine Serum ... Insufficient blood ... (e.g. renal failure ... Measurement #SLE #rheumatology ... levels #lupus #management
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
injury), Coags ... recent DAN) • EMG ... Goodpasture's cause ... reveals increasing blood ... differential #diagnosis #management
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... • Check blood ... Consider CBC, renal ... function test, serum ... #neurology #pediatrics
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
in recipient (e.g ... , DIC, hypoTN, renal ... Related Acute Lung Injury ... RBCs binds to serum ... Transfusions #diagnosis #management
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
, DIC, hypoTN, renal ... Related Acute Lung Injury ... RBCs binds to serum ... Transfusion #diagnosis #management ... #hematology #reactions
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Microbiology: Blood ... Injury By: • Early ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Scleroderma Renal Crisis (SRC) Clinical Presentation of Scleroderma Renal Crisis: 1) Acute kidney injury 2) Abrupt onset of hypertension 3)
) Acute kidney injury ... endothelial cell injury ... of arteries Management ... • Refractory cases ... #Crisis #rheumatology
Alcoholic Hepatitis - Management Algorithm Assess Eligibility for Treatment: - Maddrey Discriminant Function ≥ (or possibly MELD
exclude other causes ... with chest x-ray, blood ... - Acute kidney injury ... with serum creatinine ... goal of >21 kcal/kg
Anti-NXP-2 Dermatomyositis What? DM with generalized subcutaneous edema Pts have more myalgias, more severe weakness, and an increased prevalence
Muscle atrophy may cause ... levels of: • Serum ... • Clear cell renal ... Dermatomyositis #diagnosis #management ... #rheumatology #
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