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 endocrinology intraoperative nephrology potassium associated bradycardia calcium 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
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... BrighamChiefs #Hypercalcemia ... #workup
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
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... urinary losses: • High ... ↑ Aldosterone: Malignant
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... the cause & optimize ... leadingto hyperkalemia ... / Removal #Hyperkalemia ... #high
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
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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy:
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... Also consider: high ... myocardial infarction, hyperkalaemia ... Diagnosis #Management #Workup
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