14 results
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook

Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy
Presentation:
and Workup: • ... sarcoid or other CNS ... tears gtt qid+prn ... #Management #Treatment ... #Neurology
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
CNS Manifestations ... Demyelinating Syndrome ... Lumbar Puncture, EEG ... Treatment: ... #neurology #rheumatology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Renal: (AKI ... mononeuritis multiplex WORKUP ... recent DAN) • EMG ... gross hematuria, RBC ... #management #treatment
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
isotonic fluids (NS ... you confirmed diagnosis ... microscopy for WBCs, RBCs ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
fever - ACS, AKI ... organ damage • Treatment ... unless worrisome EKG ... #TLS #diagnosis ... #management #hematology
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
et diutinum Neurologic ... +Organomegaly+↑RBC ... Scleromyxedema (CNS ... +PNS+GI+Endocrine ... #Differential #Diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
pulmonary etc) • CNS ... -> PNS -> NMJ - ... dystrophies Work ... cryoglobulins • PNS ... #neurology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
): - Hematologic ... (CRS) / ICANS: ... bispecifics, or HSCT - CRS ... 2–4 days after CRS ... Oncology #HemeOnc #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, RTA Type IV, AI ... reabsorption) Workup ... draw, ↑↑Plts or ↑↑WBC ... heparinized tube) • ECG ... Bicarb<22) - avoid NS
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Excessive release of pro-inflammatory ... nervous system (CNS ... Treatment: • Corticosteroids ... #Diagnosis #Management ... #Hematology #Rheumatology