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management diagnosis neurology algorithm hepatology idsa infections differential hivaids opportunistic pharmacology prevention syndrome rheumatology disease hepatitis gastroenterology hypomagnesemia magnesium oncology
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS Laboratory TLS: • Uric
Syndrome (TLS) and Treatment ... Uric acid ≥ 8.0 mg ... Phosphorus ≥ 4.6 mg ... ≤ 7.0 mg/dL Clinical ... hypocalcemia Treatment
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Uric acid ≥ 8 mg ... /dL • Potassium ... ≤ 7 mg/dL • OR ... of the above Treatment ... of Clinical TLS
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
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
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 Hypomagnesemia Treatment Protocol - Magnesium Repletion Goal serum magnesium concentration 2.0-2.4 mg/dL Serum magnesium concentration - IV Magnesium
Hypomagnesemia Treatment ... /dL - 2g IV • ... 1.0-1.5 mg/dL - ... /dL - 6g IV ... Hypomagnesemia #Treatment
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... glucose 100-200 mg ... /dL or 50 g if glucose ... Dose: 10-20 mg ... as a standalone treatment
Management of Diabetes Mellitus in Patients With CKD 1. Monitor for changes in BP, serum creatinine, &
initiation of treatment ... creatinine ≥ 1.5 mg ... /dl in men & ≥ 1.4 ... mg/dl in women
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... ), normal ALT Treatment ... bilirubin > 3 mg ... /dL) or acute liver
Tumor Lysis Syndrome An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
spontaneously (before any treatments ... malignancies Treatments ... uric acid > 10 mg ... /dl, treat with
DKA DIAGNOSTIC CRITERIA: 1. Serum glucose >250 mg/dL 2. Arterial pH <7.3 3. Serum bicarbonate <18 mEq/L 4. At least
Serum glucose >250 mg ... /dL 2. ... glucose is below 200 mg ... /dL, and subcutaneous ... Treatment with IV
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