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diagnosis management symptoms differential algorithm treatment clinical pathophysiology neurology causes physicalexam nephrology endocrinology hepatology cardiology rheumatology workup pulmonary sign table
Gout - Diagnosis and Management Summary 3 Conditions for Gout to Manifest: 1. Hyperuricemia 2. Monosodium urate deposition in
sex • Metabolic syndrome ... double contour sign ... urate level >9 mg ... /dL • Tophi ... level target <6 mg
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
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
The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Scoring System CRP (mg/dL), WBC (per mm3), Hemoglobin (g/dL),
Scoring System CRP (mg ... /dL), WBC (per ... , Creatinine (mg ... /dL), Glucose ... (mg/dL), Score
Ranson's Criteria in Pancreatitis At Admission: - Age > 55 years - WBCs >
Glucose > 200 mg ... /dl - LDH > 350 ... - BUN rise > 5 mg ... /dl - Calcium ... < 8 mg/dl -
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Tumor Lysis Syndrome ... Uric acid ≥ 8 mg ... /dL • Potassium ... ≤ 7 mg/dL • OR ... #Tumor #Lysis #Syndrome
Hypomagnesemia (Serum level < 1.7 mg/dL) Neuromuscular manifestations • Tremor, tetany, seizures • Weakness
Serum level < 1.7 mg ... /dL) Neuromuscular ... Hypomagnesemia #Signs
Acute Kidney Injury - RIFLE and AKIN Criteria for Diagnosis and Classification of AKI • AKIN
Increase in SCr ≥ 0.3 mg ... /dL or increase ... /dL with an acute ... increase of ≥ 0.5 mg ... /dL; or on RRT
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
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
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