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management differential criticalcare hematology abdominal abscess aecopd apml cardiology causes compartment copd differentiation diuresis diuretics endocarditis exacerbation excretion foamed iap
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... - pulmonary opacities ... • Steroids: IV ... unless severe APLS
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... - ACS, AKI, ... organ damage • Treatment ... #TLS #diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... CBC, vitamin D level ... ventilated • CXR ... #Exacerbation #treatment ... #pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... #criticalcare #algorithm
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
: • 80% have fever ... Blood cultures • CXR ... early disease) • CXR ... decubitus - air fluid level ... Lung #Abscess #pulmonary
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome ... • Diagnosis of ... Torsemide) • Acute pulmonary ... Association class IV ... Tolvaptan) • Treatment
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... feed them or give IV ... for Refeeding Syndrome ... #diagnosis #differential ... #algorithm #management
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... Disease: • 10%-15% Pulmonary ... risk PE, Pulmonary ... vasculitis: 10%-16% Liver ... Adenocarcinoma Treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... night sweats, fever ... Cerebral > Splenic, Pulmonary ... Cholesterol emboli syndrome ... hematuria, + RF Treatment
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
Abdominal Compartment Syndrome ... after previous treatment ... transducer at the level ... syringe to fill with IV ... #Instructions #diagnosis
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