Fall Prevention

Clinic A/P, adults, GERIATRICS, Hospital A/P, Adults

Checking environmental issues and assessing each patient for fall risk can reduce the incidence of falls at home, in extended-care facilities, and in the hospital. History of recent falls: Patients with a history of recent falls are at highest risk for recurrent...

Erythropoiesis-stimulating agents

Hospital A/P, Adults

“Once erythropoiesis-stimulating agents (ESA) are started, they should be continued unless the patient’s hemoglobin level is above the desired level ESAs decrease the patient’s survival rate because they increase the  risk of myocardial infarction, stroke,...

Spontaneous Bacterial Peritonitis (SBP)

Hospital A/P, Adults

SBP = an ascitic fluid infection without an evident intra-abdominal surgically treatable source. SBP usually occurs in patients with cirrhosis and ascites Dx is made with a positive ascitic fluid bacterial culture and an ascitic fluid absolute polymorphonuclear...

Cirrhosis with Ascites

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Abdominal paracentesis Treatment -D/c alcohol and consider Baclofen treatment to increase abstinence. -D/c all medications that can decrease renal perfusion (NSAIDs, Beta-blockers, ACE-I, ARBS) -Treat any underlying liver disease when possible. -Sodium-restricted...

Alcoholic Ketoacidosis

Hospital A/P, Adults, HOSPITAL MEDICINE

#Alcoholic Ketoacidosis #Alcohol withdrawal #Alcohol Abuse #Hyperkalemia -Pathophysiology of Alcoholic Ketoacidosis reviewed. Alcoholic patient with a 2-day history of abd. pain, n/v, who has bee binge drinking and hasn’t eaten in days. Labs show a high anion...

Chronic Kidney Disease (CKD)

Clinic A/P, adults, Hospital A/P, Adults

Background DM is the #1 cause of CKD in the U.S. HTN is #2. GFR decreases with age. On average, GFR decreases by 10 per decade starting from age 20. Definition of CKD. Staging of CKD. Diagnosis H&P: Screen all patients with Risk Factors for CKD. DDx and Etiology:...