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clinical physicalexam msk diagnosis orthopedics sports management outlet thoracic vascular differential knee tunnel hepatology neurology wrist carpal criticalcare oncology treatment
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
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
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
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 #video
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 Freiberg's Test for Piriformis Syndrome Flex the hip to 90 degrees, internally rotate the hip. Pain in the
Freiberg's Test ... for Piriformis Syndrome ... #Piriformis #syndrome ... #Freibergs #Test ... lumbar #clinical #video
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 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
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome ... Suspected Cushing syndrome ... dexamethasone suppression test ... protocol: - 1 mg ... ARUPLabs #Cushing #Syndrome
Inherited Non-hemolytic Disorders of Hyperbilirubinemia == Disorders of Conjugation == Gilbert Syndrome: • 5-10% of the population
hyperbilirubinemia syndrome ... than 20 to 50 mg ... /dL. ... ranging from 7-20 mg ... /dL • CN syndrome
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