Dr. Satya Patel

Problem Representation An evolving summary of a patient’s clinical presentation that strives to identify (1) Clinical syndrome (signs/symptoms), (2) Context (relevant history/demographics), and (3) Temporal pattern to maximize diagnostic signal. When to use? • On

Delirium Contributors - Differential Diagnosis Framework Dr. Satya Patel @SatyaPatelMD #Delirium #Differential #Diagnosis #Geriatrics #diagnosis #Encephalopathy

Subtypes of Serum Proteins Pre-albumin (Transthyretin) Albumin Globulins • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin), Retinol-binding protein • Alpha-2: Haptoglobin, Ceruloplasmin, Protein C, Angiotens

Labs and Symptoms in VIPoma Dr. Satya Patel @SatyaPatelMD #VIPoma #VIP #diagnosis #algorithm

Antibiotic Options for Treating MRSA Infections PO: Doxycycline, Clindamycin, TMP-SMX, Linezolid IV: Linezolid, Vancomycin, Ceftaroline, Daptomycin, Tigecycline By Dr. Satya Patel @SatyaPatelMD and Casey Kaneshiro, MD @CKaneshiroMD #Antibiotics #MRSA #saureus #aureus #s

Intern Pocket Cards - Increasing Levels of Care • Intensive Care Unit (ICU) • Intermediate Care/Step-Down Unit / Progressive Care Unit (PCU) • Long-Term Acute Care (LTAC) • Med-surg +/- telemetry • Skilled Nursing Facility (SNF) • Acute Rehabilitation Un

Interpreting Kidney Biomarkers ↑ Creatinine: • AKI, CKD • Medications that lead to nephroprotective ↓ in GFR • Medications that ↓ renal tubular secretion of Cr • ↑↑↑ muscle mass ↑ Cystatin C: • AKI, CKD • Obesity • Inflammation �

Diabetes Mellitus Type 2 Inpatient Medication Guide Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i, Meglitinide, α-glucosidase inhibitor Inpatient blood glucose goal 140-180 mg/dL Insulin Pearls: • Calculate total daily dose of

Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department https://bit.ly/chestpainalgorithm #ACS #ChestPain #algorithm #emergency #cardiology #acute #coronary #syndrome

Calculating a Reticulocyte Index (RI) Reticulocyte Index = Absolute Reticulocyte Count / Maturation Correction Absolute Reticulocyte Count = % of reticulocytes x Patient's Hct / Normal Hct bit.ly/imfastfacts Satya Patel, MD @SatyaPatelMD #Reticulocyte #Index #RI #RPI #hematol

Progression of EKG changes in ACS • Hyperacute T waves • ST depression and T waves changes • ST elevation • T wave changes (flattening or inversions) • Pathologic Q waves Satya Patel, MD @SatyaPatelMD #Progression #EKG #ACS #ECG #electrocardiogram #Timeline #card

Acute Coronary Syndrome (ACS) Algorithm Satya Patel, MD @SatyaPatelMD #Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology

Lung Findings on Physical Exam Crackles: • Short, discontinuous, sounds mostly heard during inspiration • Caused by the opening or collapsed distal airways/alveoli as seen in pulmonary edema and pneumonia Wheezes: • Continuous, high-pitched sounds heard mostly during exp

Outpatient History & Physical (H&P) Presentation and Note Template • Chief Complaint/Concern • Subjective • Active Past Medical History • ER Course • Medications • Allergies • Social History • Exam • Labs • Imaging • Other studies • Assessment

Outpatient History & Physical (H&P) Presentation and Note Template • Chief Complaint/Concern • History of Present Illness • ER Course • Past Medical History • Past Surgical History • Medications • Allergies • Family History • Social History • Exam �