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differential algorithm hematology aki elevation emesis management vomiting acidosis agitation aplastic calculation chronic classification criticalcare delirium ecg elderly electrocardiogram extravascular
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
sphincter tone: • Opiates ... decongestants) • Any drug ... #Medications #Drugs ... #pharmacology # ... differential #diagnosis
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor The maturation factor is
Reticulocyte Production Index ... appropriately)- Retic Index ... . drugs, chemotherapy ... > 3: • Acute ... #differential #diagnosis
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Hematologic • Anemia ... Myasthenia Gravis Pharmacologic ... Anti-Depressants • Drug ... Alcohol) • Drug ... Malnutrition / Drug
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes Intravascular Hemolysis: • Mechanical Trauma (Microangiopathic hemolytic anemia):
Diagnostic Framework ... Extravascular Causes ... infection) - Drugs ... (Beta lactam antibiotics ... #hematology #anemia
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... AEIOU ) or anuria ... obstruction, Nephrotoxic drugs ... you confirmed diagnosis ... CONSIDER INTRINSIC CAUSES
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
circulation If drugs ... cardiac output - Acute ... peritonitis - Acute ... 30mmHg) - Severe anemia ... Alcohol • Type B2: Drugs
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
and petechiae Causes ... Dyskeratosis congenita • Drugs ... - Cytotoxic drugs ... propylthiouracil) - β-lactam ... • Reticulocyte index
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm Hepatobiliary: • Acute Hepatitis • Acute
Gastrointestinal and Systemic Causes ... - Differential Diagnosis ... Other: • Sepsis (e.g ... Tract Infection Drugs ... #Algorithm #Causes
Causes of Acute Pericarditis: Infectious; Viral: Adenovirus Coxsackie virus A and B Echovirus Epstein-Barr virus Hepatitis Human immunodeficiency
Causes of Acute ... induced (select drugs ... pericarditis) Uremia ... Rheumatic fever #Causes ... #Differential #Diagnosis
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 Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
A dissociative drug ... , it causes amnesia ... can result in lactic ... No pharmacologic ... #CriticalCare #diagnosis
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