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diagnosis management neurology differential hepatology infectiousdiseases reversible 1 aids associated cardiology cauda caudaequina causes cdi cdiff cerebritis checklist chemistry cirrhosis
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Posterior Reversible ... Encephalopathy ... Syndrome (PRES) ... Easily titratable IV ... #Syndrome #Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Encephalopathy ... Syndrome (PRES) ... , ADEM, Acute toxic ... epilepticus Treatment ... #Encephalopathy
Acute Retroviral Syndrome Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection •
Syndrome Acute ... Retroviral Syndrome ... Fever (75%) • Encephalopathy ... antibody test) Treatment ... #Syndrome #HIV
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... Meningitis, Myelopathy, Encephalopathy ... Cerebrovascular Disease, PRES ... inflammation, leading ... Puncture, EEG Treatment
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
Encephalopathy ... white matter and posterior ... The clinical syndrome ... Treatment: • HAART ... treatment • Cognitive
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
hepatitis serologies, HCV ... hepatitis serologies, HCV ... INR > 1.5 • Encephalopathy ... RBC (hemolysis, bleeding ... • Gilbert's syndrome
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... of Acute Esophageal ... ) - No role in acute ... risk of hepatic encephalopathy ... ebm #evidence #gastroenterology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... hyperaldosteronism • Acute ... Association class IV ... with specific bleeding ... Tolvaptan) • Treatment
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... spine • MCC- acute ... cord infarct • HIV ... perineum, and posterior ... axial T1 and T2 Treatment
VIBES Mnemonic - Cirrhosis Management Checklist V - Volume (Ascites, HRS) - Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Hydrothorax, Hepatorenal Syndrome ... bactrim or FQ B - Bleeding ... - Ppx (non-bleeding ... E - Hepatic Encephalopathy ... Diagnosis #Hepatology #Gastroenterology
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