GrepMed HandBook

Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal bossing, enlarged jaw (macrognathia), ↑ hand + feet size, coarsening facial features, soft tissue swelling and organomegaly - c/f ring tightening,

Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation: • Unilateral upper AND lower facial weakness ± hyperacusis, ↓lacrimation, ↓taste, ↓salivation. • Typical progression: over 1-

Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations, bradycardia, arrhythmias Etiology: • Medications: K+, ACEi/ARBs, NSAIDs, β-blockers, Antibiotics (Bactrim, PCN G-K), K-sparing

Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook Presentation: • Plts ↓50% (nadir ~40-80k) after 5-10d, venous (DVT/PE) or arterial thrombosis, skin necrosis (at injection sites) ↑ Risk Factors: • SICU > MICU, ♀, ↑Age, ESR

C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression: • Asymptomatic Colonization (~20% of hospitalized pts on ABx) → Acute Diarrhea (>3 BM/d) ± blood/mucus, Abd pain, Fever, ↑WBC

Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook Presentation: Dyspepsia / Peptic Ulcer Disease Epidemiology: Unusual in children, up to 50% of adults +serology in developed countries Microbiology: • spiral shaped, microaerophilic, g

Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook Presentation: • Epigastric abdominal pain (90%, characteristically radiating to back), N/V (90%) • Other: Jaundice (obstruction), Periumbilical (Cullen) or flank (Grey-Turner) bruising in severe hemorrha