Ravi Singh K @rav7ks
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Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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diagnosis management differential neurology syndrome infections pulmonary aids hematology activetb anemia latenttb lung nutrition rhabdomyolysis rheumatology tb tuberculosis abscess acidosis
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Infection (Viral- HIV ... Dermatomyositis) AKI - Pathophysiology ... oxidative iniury Treatment ... Management #Summary #causes ... #treatment
Acute Retroviral Syndrome Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection •
symptoms • >50,000 HIV ... elevation • Nausea ... 14%), in which case ... -1 and HIV-2 • ... antibody test) Treatment
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess Pathophysiology ... hemorrhage • Treatment ... #differential #causes ... #management #treatment
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
CNS Infection in HIV ... present in 15% of cases ... Antimicrobial treatment ... Demyelinating disease caused ... opportunistic #InfectiousDiseases
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
impairment • HIV ... dementia Pathophysiology ... : HIV frequently ... Treatment: • HAART ... treatment • Cognitive
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
protein C and S Pathophysiology ... deficiency) • HIT ... + Bleeding Treatment ... Treat primary cause ... #treatment #management
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... Guillain-Barre Pathophysiology ... Campylobacter jejuni - HIV ... Treatment: • Plasmapheresis ... diagnosis #management #treatment
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts caused ... changes and may cause ... hyperparathyroidism Treatment ... are the leading cause ... Differential #Diagnosis #Pathophysiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Causes of Lactate ... The most common causes ... perfusion - shock->treatments ... before beginning treatment ... Ethylene glycol - HIV
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Infections in HIV ... macrophages in HIV ... low if you have HIV ... factor • May cause ... differential #diagnosis #infectiousdiseases
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