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diagnosis differential algorithm acromegaly blastomycosis candidemia candidiasis criticalcare diuresis diuretics endocrinology excretion foamed fungal fungemia guidelines hepatology hepatopulmonary hypernatremia hyponatremia
Candidemia Workup and Management - IDSA Guidelines 1) Antibiotics • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Consider: Spine, CNS, liver ... #candida #candidiasis ... #treatment #fungal
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Diagnosis and Workup ... Assess volume status ... HYPERVOLEMIC • CHF • liver ... • nephrotic syndrome ... #Algorithm #Nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Assess volume status ... demyelination syndrome ... include vaptans (HF/liver ... #management #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... heart failure, liver ... heart failure, liver ... heart failure, liver ... heart failure, liver
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... the setting of liver ... • Underlying liver ... hypertension • Liver ... #treatment #hepatology
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
in New York and Canada ... Pregnancy • Outdoor worker ... Farmer and forestry work ... serum/urine Treatment ... Blastomycosis #diagnosis #management
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GH stimulates liver ... Beckwith Wiedemann syndrome ... Diagnosis and Workup ... • Serum IGF-1 level ... Endocrinology #Treatment
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... hormones that work ... for Refeeding Syndrome ... differential #algorithm #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... osteomyelitis, cutaneous abscesses ... Parvovirus B19 • Candida ... #Inflammatory #Syndrome ... Differential #Diagnosis #Management
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