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management differential fungal infectiousdiseases syndrome acidosis acromegaly acute algorithm blastomycosis candidemia causes classification criticalcare elevation endocrinology foamed fungemia guidelines hematology
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... within one week to assess ... Consider: Spine, CNS, liver ... Guidelines #Management #candida ... #candidiasis #treatment
Acute Retroviral Syndrome Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection •
Hepatomegaly - Liver ... and esophageal candidiasis ... • Viral RNA level ... subset counts ↓ • Liver ... antibody test) Treatment
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
• The fungus lives ... in New York and Canada ... Farmer and forestry work ... mimic squamous cell ... #management #treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... Assess volume status ... include vaptans (HF/liver ... #Differential #Diagnosis
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GH stimulates liver ... pancreatic islet cell ... and Workup: • ... Serum IGF-1 level ... Endocrinology #Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
e.g., uptake by cells ... glucose by the liver ... contribution of liver ... mellitus/DKA - Liver ... gluconeogenesis Liver
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... stores in the liver ... beta-oxidation in the liver ... hormones that work ... #diagnosis #differential
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
of a previously diagnosed ... decrease in HIV-1 RNA level ... increase in CD4+ cells ... osteomyelitis, cutaneous abscesses ... Parvovirus B19 • Candida
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Increased protein level ... normal glucose level ... Hematopoietic stem cell ... Sinusitis • Brain abscess ... becomes a yeast cell
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
common - GI tract, liver ... Diagnosis? ... bone marrow at a level ... Bone marrow Treatment ... #Workup #Hematology
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