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Algorithms in Medicine
@MatthewHoMD
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Matthew Ho, MD PhD
https://twitter.com/MatthewHoMD
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algorithm
diagnosis
management
differential
hematology
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pulmonary
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Treatment Approach to Hodgkin's Lymphoma By Matthew Ho, MD PhD @MatthewHoMD With Credit: Dr Sunita Nasta and Dr Jakub Svoboda Ref: NCCN guidelines #Hodgkins #Lymphoma #oncology #Hematology #management #treatment #guideline
Abdominal Aortic Aneurysm (AAA) Management and Surveillance - Screening should be considered for more than just men > 65 who ever smoked - Women have lower cutoffs for intervention/surveillance than men - Aspirin/statins are not always indicated By Matthew Ho, MD PhD @MatthewHoMD and Dr. Ana Casanegra #Abdominal #Aortic #Aneurysm #AAA #Management #Aorta #Vascular #Treatment #Algorithm
Diffuse large B cell lymphoma (DLBCL) - Management and Treatment Algorithm By Matthew Ho, MD PhD @MatthewHoMD #Diffuse #large #Bcell #lymphoma #DLBCL #Management #Treatment #Algorithm #oncology #hematology
Hypereosinophilia and Hypereosinophilic Syndrome • Secondary Hypereosinophilic Syndrome • Clinically Relevant HES Variants • When to suspect underlying hematologic disorders • Diagnosis and Treatment Algorithm Matthew Ho, MD PhD @MatthewHoMD #Hypereosinophilia #Hypereosinophilic #Syndrome #HES #Hematology #eosinophilia #eosinophils #diagnosis #management #algorithm
Approach to Von Willebrand disease (VWD) By Matthew Ho, MD PhD @MatthewHoMD #VWD #Von #Willebrand #VonWillebrand #disease #hematology #algorithm #diagnosis
Approach to Elevated aPTT / PT - Differential Diagnosis Algorithm aPTT: Intrinsic / Final PT: Extrinsic / Final By Matthew Ho, MD PhD @MatthewHoMD #Elevated #aPTT #PT #INR #Algorithm #Hematology #differential #diagnosis
Algorithm for Suspected SVC Syndrome SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough, hoarseness, syncope, etc SVC Syndrome Grading: 0: Asymptomatic 1 : Mild: edema of head or neck 2: Moderate: edema in head or neck with functional impairment 3: Severe: mild/moderate cerebral edema/laryngeal edema, or diminished cardiac reserve 4: Life-threatening: significant cerebral edema, laryngeal edema, hemodynamic compromise 5: Fatal: death Matthew Ho, MD PhD @MatthewHoMD #SVC #Syndrome #Algorithm #diagnosis #management #vascular #Superior #vena #cava
Stroke Evaluation and Management Algorithm Clinical suspicion of stroke (BE FAST) • Balance loss • Eyes: vision loss • Facial asymmetry • Arm weakness • Slurred speech • Time is brain! Immediate Workup Ischemic Stroke Hemorrhagic Stroke Matthew Ho, MD PhD @MatthewHoMD in collaboration with Dr. James Klaas #Stroke #Management #Algorithm #diagnosis #differential #neurology #CVA
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal vein thrombosis • Late budd-chiari • CHF • Constrictive pericarditis/tamponade • IVC obstruction • Early budd-chiari SAAG < 1.1: • Nephrotic syndrome • Malignancy • Peritoneal carcinomatosis • Serositis (infection vs autoimmune) • Pancreatic ascites Matthew Ho, MD PhD @MatthewHoMD #Ascites #Differential #Diagnosis #Table #Serum #Albumin #Gradient #SAAG #hepatology
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap > 10 mEq/L • Bicarb < 18 mEq/L • Urine/serum ketones +++ • Serum BHB elevated • Glucose usually > 250 mg/dL Diagnostic criteria for HHS: • pH > 7.3 • Anion gap normal < 10 mEq/L • Bicarb> 18 mEq/L • Urine/serum ketones (neg/+) • Serum BHB normal • Glucose usually > 600 mg/dL • Serum osm > 320 mOsm/kg Matthew Ho, MD PhD @MatthewHoMD #DKA #HHS #Hyperglycemic #Crisis #Algorithm #management #endocrinology #Diabetes #DM2 #Ketoacidosis
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