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

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... Coagulation Failure Infections ... Hepatitis Procedures Management ... Failure #Cirrhosis #Hepatology ... gastroenterology #management
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... hyperthermia, myocardial infarction ... #Management #Neurology ... #CriticalCare # ... Seizures #Algorithm #PulmCrit
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... • Persistent fever ... Josh Farkas @PulmCrit ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
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Diagnosis and Management ... Coccobacillus - Zoonotic Infection ... Ulceroglandular: Fever ... Culture & GS, PCR Treatment ... #microbiology
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis - Management ... Rule out infection ... can be bridge to Liver ... #Algorithm #treatment ... #hepatology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
common route of infection ... • Prodrome: fever ... • Autopsy PCR Treatment ... Hantavirus #diagnosis #management ... #treatment #microbiology
Aplastic Anemia - Illness Script
Signs and symptoms:
 • Recurrent infections from neutropenia
 • Mucosal bleeding from
: • Recurrent infections ... megaloblastic anemia Treatment ... if neutropenic fever ... Anemia #diagnosis #management ... #treatment #hematology
Chronic Hepatitis B - Diagnosis and Management Algorithm

• Who to treat: Essentially treat the pts with
Diagnosis and Management ... with chronic HBV infections ... Chronic Hepatitis B Infection ... Algorithm #Diagnosis #Management ... #Treatment #Hepatology
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
• HIV/HCV co-infection ... • Acute HBV infection ... with severe liver ... #Indications #management ... #hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Insufficiency, Liver ... Cardiogenic: Myocardial Infarction ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management