Resistant Hypertension

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

Definition of Resistant Hypertension. The most common cause of resistant HTN non-adherence. Diagnosis H&P: -Identify and reversible risk factors such as obesity/overweight, lack of exercise, high salt diet, increased alcohol intake. -Screen for OSA and treat if...

Staging or Grading Hepatic Encephalopathy

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

Stage Mental Status Asterixis EEG Stage1 Changes in behavior (euphoria/depression), mild confusion, slurred speech, disordered sleep Yes/No Usually Normal Stage 2 Lethargy, moderate confusion Yes Abnormal Stage 3 Marked confusion (stupor), incoherent speech, sleeping...

Hepatic Encephalopathy, Acute

2nd INPATIENT, Clinic A/P, adults, Hospital A/P, Adults

Acute Hepatic Encephalopathy 2/2 to ________ Symptoms caused by  a failure of liver to detoxify NH3 and other substances that cause cerebral edema and/or act as false neurotransmitters (GABA-like) Precipitating causes evaluated. PE: Asterixis present? Pt has hepatic...

Sickle Cell Crisis

Hospital A/P, Adults

#Sickle Cell Crisis Pert +/- Hx:  Endorses/Denies: Vaso-occlusion and infarction symptoms: painful crises, acute chest syndrome, hand-foot syndrome, priapism. Denies/endorses: S/sx of infection (meningitis, bacteremia, Pneumonia) s/sx of cardiac disease...

Venous Thromboembolism (VTE): Pulmonary Embolism (PE) Treatment

Hospital A/P, Adults

Acute respiratory failure 2/2 acute B/L pulmonary embolism. Hemodynamically stable -admit to ICU (if hemodynamically unstable) -ABG -LMWH (if nonmassive and normal renal function. Otherwise, use start heparin gtt). LMWH will be continued for 5 days AND until the INR...

Cholecystitis, Acute

Hospital A/P, Adults

# Acute Cholecystitis Pert +/- history: Pt c/o of RUQ / epigastric abdominal pain. Pain  radiates to R shoulder/back. Pain is steady and severed.  Associated symptoms include fever, nausea, vomiting, anorexia. There was a history of fatty food ingestion one hour or...