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diagnosis algorithm treatment pharmacology criticalcare gastroenterology differential clinical cardiology peds checklist table hematology medications pulmonary pediatrics comparison covid19 primarycare syndrome
Idiopathic Thrombocytopenic Purpura Clinical: • Gingival • Menorrhagia • GI bleeding • Intracranial
Menorrhagia • GI bleeding ... Intracranial hemorrhage Management ... children) • Platelets ... only for severe bleeding ... extremely low platelet
Indications for Transfusion Packed RBCs • Hgb <7 g/dL or hematocrit <21% in a patient with uncompromised
• < 30,000 and bleeding ... postoperative bleeding ... Platelet transfusions ... Indications #Thresholds #Management ... #RBCs #Platelets
Thresholds for Transfusion of Platelets in Adults Major surgery or invasive procedure, no active bleeding - ≤
Transfusion of Platelets ... procedure, no active bleeding ... Surgery with active bleeding ... procedure - < 20 #Management ... #Platelets #Transfusion
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 Disorders of the Hepatic and Mesenteric Circulation Platelets in Cirrhosis Hypercoagulability in Cirrhosis Bleeding in Cirrhosis Portal Vein Thrombosis (PVT) Mesenteric
Circulation Platelets ... in Cirrhosis Bleeding ... Gastroenterology #diagnosis #Management
Mount Sinai COVID-19 Anticoagulation Algorithm Inclusion: All admitted patients with COVID-19 Exclusion: High risk of bleeding as judged
: High risk of bleeding ... High-risk for bleeding ... , consider: - Platelet ... Current or recent bleeding ... COVID19 #SARSCOV2 #Management
Aplastic Anemia - Illness Script Signs and symptoms: • Recurrent infections from neutropenia • Mucosal bleeding from
neutropenia • Mucosal bleeding ... from low platelets ... Anemia #diagnosis #management
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Findings: • Bleeding ... Findings: • Bleeding ... Findings in DIC: • Platelet ... Thrombocytopenia - Platelet ... causes #treatment #management
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
Management of Jehovah's ... periodically check platelets ... 20% Treat any bleeding ... procedural control of bleeding ... #CriticalCare #Management
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... Anti-thrombotic management ... — anti-platelet ... If peptic ulcer bleeding
Procedure Risks and Platelet Targets for Transfusion LOW RISK - Transfuse ≥ 20,000/uL • Paracentesis, EGD or
Procedure Risks and Platelet ... Prophylactic variceal bleeding ... Aguila @enrrikke #Platelet ... thresholds #targets #management
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