Rhabdomyolisis resulting in Acute Kidney Injury

Hospital A/P, Adults

Dx: Rhabdomyolysis resulting in Acute Kidney Injury. Cause of rhabdo: Likely 2/2 to drug use and lying on the side for too long. Pts with rhabdo are at risk for heme-induced AKI Reviewed Total CK, CBC, CMP (esp. BUN, Cr, BUN/Cr, ALT, AST) Assessed ABCs and patient is...

GI Bleed: Upper GI Bleed (Active Bleeding)

Hospital A/P, Adults

#Upper GI bleed, active, likely 2/2 to  __________ -Admit to telemetry -DDx: UGI – Esophageal varices, Mallory-Weiss tear, Dieulafoy’s lesion, PUD, esophagitis, neoplasm, aortoenteric fistula (if hx of AAA repair). -A rectal exam performed. Guaiac stool....

Small Bowel Obstruction (SBO)

Hospital A/P, Adults

Dx: Small bowel obstruction *Pt has a hx of multiple abdominal surgeries. SBO likely 2/2 to adhesions. Time & date of last BM: Patient passing flatus? : Time & date of last meal: Admit to Med/Surg Frequent reassessments of the patient (to ensure that there are...

Syncope and Presyncope

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

Definition and classification of syNCOpe and presyncope. -Neurally mediated syncope vs. cardiac syncope vs. orthostatic hypotension syncope. -Patients with presyncope have similar prognoses to those with syncope and should undergo a similar evaluation” (AFP...

COPD Exacerbation (Inpatient)

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

Dx: Acute respiratory distress 2/2 COPD exacerbation -Likely 2/2 to ______________________ – admit to telemetry -Bronchodilators (SAA + SABA): Ipratropium + albuterol nebs or MDI -Systemic steroids (PO or IV) -Antibiotics: Will start abx if infection suspected....

Stroke (CVA) or TIA

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

Strokes are either ischemic or hemorrhagic. Acute Ischemic Stroke (87 % of us U.S strokes). Hemorrhagic Stroke (13 % hemorrhagic stroke).