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Critical Care Medicine

Acute Hepatic Failure, Fulminant Hepatic Failure, Acute Liver Failure

Acute Hepatic Failure Synonyms Fulminant hepatic failure, Acute liver failure Related Conditions Acute liver injury Drug overdose Liver transplantation 1. Description of the problem Acute hepatic failure is characterized by acute onset of acute liver injury, hepatocellular dysfunction, hepatic encephalopathy (any grade) and coagulopathy (INR>1.5), all occurring within 26 weeks’ duration, in a patient with…
Critical Care Medicine

Thyroid Disorders: Sick Euthyroid Syndrome

Sick Euthyroid Syndrome Non-thyroidal illness syndrome 1. Description of the problem What every clinician needs to know Critical illness causes multiple nonspecific alterations in thyroid hormone concentrations in patients who have no intrinsic thyroid disease that relate to the severity of the illness. There is an ongoing debate whether such alterations are a physiologic adaptation…

Epileptic seizures in older adult patients

The conclusion of this two-part report looks into the management and therapeutic options available to clinicians treating this population.

The facts and fictions of chelation therapy

Originally used to treat lead poisoning and hypercalcemia, chelation has shown promise among individuals with heart disease and other conditions.

Intrauterine fetal assessment and management of non-reassuring status

What the Anesthesiologist Should Know before the Operative Procedure Intrauterine fetal monitoring is used by the obstetrician to determine fetal status before and during labor. It is the anesthesiologist’s responsibility to understand and be aware of fetal status in order to optimize communication with their obstetric colleagues and respond to emergencies in a timely manner.…

Patient Positioning During Anesthesia: Prone Position

Patient transfer Prior to achieving any surgical position, the patient must be transferred onto the operating room table. The final position of the patient is of the utmost importance, but achieving these positions requires careful planning and coordination by the operating room team. The overall plan for each patient transfer should be discussed prior to…

Lymphomatoid Papulosis

Are You Confident of the Diagnosis? What you should be alert for in the history Lymphomatoid papulosis (LyP) is characterized by a chronic relapsing course with grouped or disseminated papulonodular lesions involving the trunk and/or extremities. The duration of the disease may vary from less than 1 year to several decades. The eruption is generally…

Monoclonal gammopathy of undetermined significance

Monoclonal gammopathy of undetermined significance What every physician needs to know about monoclonal gammopathy of undetermined significance: Monoclonal gammopathy of undetermined significance (MGUS) is a premalignant asymptomatic disorder, characterized by the presence of a monoclonal protein (M-protein) in the absence of end-organ damage, that can be attributable to plasma cell proliferation. It is defined by…
Hospital Medicine

Acute tubular necrosis

I. What every physician needs to know. Acute kidney injury (AKI) is defined as an abrupt decline in kidney function. The traditional paradigm classifies AKI into prerenal, intrinsic renal, and postrenal etiologies based on the portion of renal anatomy most affected. Acute tubular necrosis (ATN), an intrinsic renal etiology of AKI, occurs with prolonged ischemic…
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