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diagnosis management treatment infections pharmacology differential hepatology hivaids opportunistic prevention neurology oncology cardiology hematology hepatitis hypertension nephrology obstetrics physicalexam tls
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS Laboratory TLS: • Uric
of Tumor Lysis Syndrome ... Uric acid ≥ 8.0 mg ... Phosphorus ≥ 4.6 mg ... ≤ 7.0 mg/dL Clinical ... #TumorLysis #Syndrome
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Tumor Lysis Syndrome ... Uric acid ≥ 8 mg ... ≤ 7 mg/dL • OR ... Treatment of Clinical ... #Tumor #Lysis #Syndrome
Multiple Myeloma and Monoclonal Gammopathies C - HyperCalcemia- calcium > 11 mg/dL / >1 mg/dL the ULN R
- calcium > 11 mg ... /dL / >1 mg/dL the ... disease - Cr >2 mg ... /dL or CC < 40 ml ... plasmacytoma, POEMs syndrome
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Bilirubin: <5 mg ... /dL • Hepatic ... necrosis HELLP Syndrome ... Bilirubin: <5 mg ... /dL unless massive
Gestational Hypertension & Preeclampsia Gestational Hypertension (gHTN) • BP > 140/90 • Onset > 20 wks gestation
Proteinuria (300 mg ... ) • Cr > 1.1 mg ... /dL or 2x • Thrombocytopenia ... Seizure HELLP Syndrome
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
Albuminuria (Grades) and Risk for CKD Normal to mildly increased albuminuria: - Albumin excretion rate: < 30
excretion rate: < 30 mg ... excretion rate: 30-300 mg ... ratio: 30-300 mg ... hypoalbuminemia (<3.0 g/dL ... defined as nephrotic syndrome
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
- Metabolic syndrome ... creatinine >2.5 mg ... /dl„ in men, >2.0 ... mg/dL in women) ... - Metabolic syndrome
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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 Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... Goldstein SA, Simel DL ... Acute Coronary Syndrome ... : The Rational Clinical
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