2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
-A massive tumor cell lysis → release of large amounts of potassium, phosphate, and uric acid into the systemic circulation. -Uric acid and/or calcium phosphate crystal deposition in the renal tubules → acute kidney injury, oliguria or anuria, in some patients. Labs:...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds, PULMONARY & CRITICAL CARE
Definition: Mean pulmonary arterial pressure of 25 mm Hg or greater. Results from different pathophysiologic mechanisms. “Echocardiography is recommended as the initial step in the evaluation of patients with suspected pulmonary hypertension.” AAFP 2016...
2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, GASTROENTEROLOGY, Hospital A/P, Adults, Hospital A/P, Peds
Treatment -Prevent and treat alcohol withdrawal. -Alcohol abstinence -Supportive Care: –Fluid management and Nutritional support –Monitor for infection –Prophylaxis against gastric mucosal bleeding –D/c nonselective beta-blockers in patients...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Door to balloon time = 90 minutes Transfering to PCI capable facility vs. Fibrinolysis “In general, percutaneous coronary intervention (PCI) is preferred because it leads to improved outcomes compared to fibrinolysis when performed in high-volume medical...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Diagnosis Hypercalcemia algorithm reviewed (AAFP). H&P Causes of hypercalcemia. Common presentation. Diagnostic studies *An isolated elevated calcium level should be repeated before further workup is indicated. Order CMP with ionized calcium. Treatment 1st-line...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Primary polydipsia is also called dipsogenic diabetes insipidus or psychogenic polydipsia. It can cause excretion of large volumes of dilute urine. Primary polydipsia is NOT a problem with ADH production or lack of response to ADH. The underlying cause is an intake of...
