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diagnosis management differential neurology acute associated bariatric bypass cdi cdiff cirrhosis classification clostridioides clostridium dementia difficile disorder ebm evidence gastric
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
with Cirrhosis 1) ... Ascites • Variceal Bleeding ... • Hepatic Encephalopathy ... • Hepatorenal Syndrome ... Cirrhosis #diagnosis #treatment
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... severe clinical complications ... • Nephrotic syndrome ... • Wernicke encephalopathy ... hyperparathyroidism Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Encephalopathy ... PRES Diagnosis: 1. ... epilepticus Treatment ... underlying cause • Treatment ... #Reversible #Encephalopathy
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... (STSS) Complication ... kidneys, liver, lung/ARDS ... IVIG 1g/kg on day 1, ... #STSS #treatment
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
Hepatic Encephalopathy ... Infection, GI bleeding ... Criteria: • Grade 1: ... branched chain amino acids ... LizzieAbyMD #Hepatic #Encephalopathy
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... inuslin release leading ... excluded limb • Treatment
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
Epidemiology: • #1 ... CT A/P: Assess complications ... 10 mg/kg IV x 1 ... mg PO qd - If needing ... infectiousdiseases #IDSA #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Esophageal Variceal Bleeding ... free survival at 1 ... risk of hepatic encephalopathy ... ebm #evidence #gastroenterology
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
Classic HIV Encephalopathy ... white matter and posterior ... The clinical syndrome ... Treatment: • HAART ... disorder #dementia #AIDS
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook Presentation: • Epigastric abdominal pain (90%, characteristically
Autoimmune, PUD (posterior ... Diagnosis (2 of 3): 1) ... to assess for complications ... Diagnosis #Management #Treatment ... #Gastroenterology
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