Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis management differential anesthesia anesthesiology checklist intraoperative endocrinology nephrology associated bradycardia calcium cardiacarrest cardiology crisis elevated emergencies hemeonc hyperthermia hypokalemia
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Hypocalciuric Hypercalcemia ... PTHrP: Malignancy ... calcitriol induced hypercalcemia ... @aishaikh #Hypercalcemia
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... hypercalcemia. ... Hypercalcemia - ... #associated #hypercalcemia ... #Treatment #algorithm
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... FeCa <1 %) - Low ... BrighamChiefs #Hypercalcemia ... #workup
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... hypercalcemia ... : Dalysis with low ... Denosumab #hypercalcemia ... #algorithm #malignancy
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... ↑ Aldosterone: Malignant ... consumption • Low
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... ❹ Call for MH treatment ... with dantrolene Hyperkalaemia ... Diagnosis #Management #Workup
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
, sotalol) • Propofol ... Hypomagnesemia • Hypokalemia ... • Hypocalcemia ... (rarely) Treatment ... 1b (lidocaine)- case
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... delegate task of evaluating ... Increase fresh gas flow ... Hypovolaemia Hypo/hyperkalaemia ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Check fresh gas flow ... Consider known drug causes ... myocardial infarction, hyperkalaemia ... Diagnosis #Management #Workup
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... acid, high LDH, low ... Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy:
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