36 results
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Uric acid ≥ 8.0 mg ... /dL • Potassium ... ≥ 6.0 mEq/dL ... Phosphorus ≥ 4.6 mg ... ≤ 7.0 mg/dL Clinical
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
weeks • Typical clinical ... Bilirubin: <5 mg ... /dL • Hepatic ... Bilirubin: <5 mg ... /dL unless massive
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Uric acid ≥ 8 mg ... /dL • Potassium ... /dL • Calcium ... ≤ 7 mg/dL • OR ... Treatment of Clinical
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Furosemide 40 mg ... Furosemide 20 mg ... = Torsemide 20 mg ... #Pharmacology #Cardiology ... Recommended Text: Clinical
Vertical (Upbeat) Nystagmus on Physical Exam

This patient had severe hypomagnesemia. Serum Mg 0.1 mg/dl.

Dr. Arvind Canchi
Serum Mg 0.1 mg/ ... dl. ... hypomagnesemia #clinical
Loop diuretic conversion - Equivalent Doses
Furosemide (Lasix) 40 mg PO = Furosemide 20 mg IV =
Furosemide (Lasix) 40 mg ... Furosemide 20 mg ... = Torsemide 20 mg ... #Pharmacology #Cardiology ... Recommended Text: Clinical
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Goldstein SA, Simel DL ... : The Rational Clinical ... EBM #Diagnosis #Cardiology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
as jaundice on clinical ... than 20 to 50 mg ... /dL. ... ranging from 7-20 mg ... /dL • CN syndrome
Clinical diagnosis of Alcoholic Hepatitis (AH)
 • Onset of jaundice within prior 8 weeks
 • Ongoing
Clinical diagnosis ... bilirubin >3.0 mg ... /dL Potential confounding
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
., 300 mg/24 hr ... insufficiency (Cr > 1.1 mg ... /dL or doubling ... diagnosis so have high clinical ... htn #obstetrics #cardiology