11 results
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... weight loss - Low ... disturbances: low ... Syndrome #diagnosis #pathophysiology ... #symptoms #signs
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... overload) Other Symptoms ... abnormalities before refeeding ... , K, Mg2+) • Slow ... Differential #Diagnosis #Pathophysiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... Dehydration • Symptoms ... Lysis Syndrome: • Pathophysiology ... , Elevated Cr, Low ... TLS #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... • Large volume feeding ... Lung Abscess Pathophysiology ... Lung Abscess Management ... Prevotella • Fungal
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 • Primarily affects
ARE THE CLINICAL SYMPTOMS ... mucus plugs • Low ... corticosteroids +/- anti-fungal ... pulmonary #diagnosis #management
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Diagnosis and Management ... Other causes: TB, fungal ... ketoconazole, etomidate) Symptoms ... Hyperpigmentation is absent (low ... Secondary #Diagnosis #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
, small study, low-risk ... only if worsening symptoms ... not) - ↓ rebleeding ... SBP #diagnosis #management
Diffuse Systemic Sclerosis (Scleroderma)
 - Pulmonary Fibrosis -> Crackles, Abnormal CXR
 - Pulmonary Hypertension, Right Heart
- Decr blood flow ... /toes - Peri-ungal ... #Scleroderma #pathophysiology ... #signs #symptoms
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
alkalosis • Normal or low ... acidosis (RTA)) • Refeeding ... diagnosis #nephrology #management ... #pathophysiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Diagnosis: • Direct fungal ... protein level • A low ... Aspergillosis Pathophysiology ... arthroconidia; the fungus ... #Diagnosis #Management