Ravi Singh K @rav7ks
1.2M 757 370
Academic Hospitalist and Associate Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Hopkins Medicine Clerkship Site Director, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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diagnosis differential management hematology pulmonary syndromes alkaline alp ascorbicacid beriberi cardiology chloride coagulation deficiency dermatology dic disseminated dyspnea ecg edema
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... changes and may cause ... , K, Mg2+) • Slow ... Refeeding #Syndrome #Nutrition ... Differential #Diagnosis #Pathophysiology
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Low Alkaline Phosphatase ... Most cases diagnosed ... nephrocalcinosis • CPPD ... collection with EDTA Pathophysiology ... Phosphatase: • Other causes
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Cardiovascular Causes ... fast - Too slow ... Tamponade Pulmonary Causes ... - Asthma - COPD ... syndrome Other Causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... Cause - Decreased ... Intake: • Low ... Differential #Diagnosis #Algorithm ... #Pathophysiology
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations Causes of Thiamine Deficiency: • Poor intake: - Diets
Manifestations Causes ... rice, Cereals • Low ... contraction, blood flow ... syndromes #beriberi #nutrition ... #pathophysiology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Amyloidosis - Nutritional ... Differential #Diagnosis #Algorithm ... #Causes #dermatology
Hypophosphatemia and Hypoxia - Pathophysiology ↓ Phosphate leads to ↓ red cell 2,3-DPG and a reduction
and Hypoxia - Pathophysiology ... weakness (defined as low ... inspiratory pressure or low ... Phosphate is a cause ... respiratory #hypoxia #pathophysiology
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
Tachypnea, - Low-grade ... epilepticus • Pathophysiology ... Pulmonary Edema: • Pathophysiology ... The predominant pathophysiologic ... • Pathophysiology
Scurvy (Vitamin C Deficiency) - Diagnosis and Management Vitamin C is required for hydroxylation of proline residues
persons with poor nutrition ... , or any other cause ... weeks #Scurvy #Pathophysiology ... #AscorbicAcid #Pathophysiology ... #Nutrition #Diagnosis
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
group of disorders caused ... age • 22 and 45 cases ... skin that are caused ... Out Secondary Causes ... Platelet Disorders • Nutritional
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