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 endocrinology anesthesia anesthesiology associated crisis emergencies hemeonc hyperthermia intraoperative oncologic oncology polymorphic tdp torsadesdepointes ventriculartachycardia vtach workup
Causes of Hypercalcemia - Differential Diagnosis Algorithm • Primary Hyperparathyroidism • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Hypocalciuric Hypercalcemia ... • Humoral Hypercalcemia ... of Malignancy ... DTomacruzM #Hypercalcemia
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... hypercalcemia. ... or Denosumab #malignancy ... #Treatment #algorithm
Causes of Hypercalcemia - Differential Diagnosis Algorithm • Primary hyperparathyroidism • FHH • Hypercalcemia of malignancy
Causes of Hypercalcemia ... hyperparathyroidism • FHH • Hypercalcemia ... of malignancy ... Local osteolytic hypercalcemia ... #Hypercalcemia
Treatment algorithm for malignancy-associated hypercalcemia • Aggressive IV hydration • IV Bisphosphonate +/- Calcitonin • Renal
Treatment algorithm ... for malignancy-associated ... hypercalcemia ... Denosumab #hypercalcemia ... #algorithm #malignancy
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... with dantrolene Hyperkalaemia ... anaesthesia #Malignant ... Intraoperative #Checklist
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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... → no immediate treatment ... after CRS) - Treatment
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