By Guilherme H. M. Oliveira, Gillian C. Nesbitt, Joseph G. Murphy
If you are a doctor on name, you would like a analysis and therapy advisor that will help you make fast and actual decisions-one that is finished concise. Now, for the 1st time, the hot Mayo hospital scientific handbook presents simply the perfect info to accomplish virtually any differential prognosis you stumble upon. Conceived at Mayo medical institution, this new handbook comprises every little thing you want to instantly determine and evaluation signs and laboratory abnormalities in a condensed but concise easy-to-access instruction manual.
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Extra info for Mayo Clinic Medical Manual
Sickle cell, thalassemia, hereditary spherocytosis)? , rheumatoid arthritis, systemic lupus erythematosus, chronic renal failure, gastroesophageal reflux disease with Cameron erosions, liver disease, endocrine disease)? , NSAIDs, anticoagulants, alcohol, chemotherapy agents). , menorrhagia, bloody or black stools, hematemesis, blood-tinged urine, retroperitoneal hemorrhage)? , involuntary weight loss)? ■ Is there a history of a recent viral illness (which is associated with aplastic anemia)? , pregnancy, HELLP syndrome)?
DIFFERENTIAL DIAGNOSIS See Table 2. 26 Table 1. Addressing the Risk Condition Abdominal aortic aneurysm rupture Aortic dissection Vital signs Hypotension, unequal pulse/blood pressure upper vs. lower limbs Hypertension or hypotension, loss of pulses TEE, transesophageal echocardiography. Exam findings Treatment Severe pain in abdomen, back, flank(s), shock Acute tearing pain in chest and/or interscapular area Pulsatile abdominal mass Two large-bore IVs of normal saline, blood, emergency surgery consult Don’t waste time on tests!
Intravascular and Extravascular Hemolysis for Normocytic Anemia Intravascular Blood transfusion: ABO mismatched transfusion Bacterial/parasitic infections Bartonellosis Clostridial sepsis Malaria Mycoplasma pneumonia Paroxysmal hemoglobinuria Paroxysmal nocturnal hemoglobinuria Paroxysmal cold hemoglobinuria Mechanical heart valves Snake bites Thermal burns Extravascular Autoimmune hemolysis Warm-reacting (IgG) AIHA Cold-reacting (IgM) AIHA Bacterial and viral infections Infectious mononucleosis Malaria Mycoplasma pneumonia Drug-induced hemolysis Glucose-6-phosphate dehydrogenase deficiency Autoimmune drug reactions Hemoglobinopathies Thalassemia syndromes Sickle cell disease Membrane structural defects Hereditary spherocytosis Hereditary elliptocytosis Acanthocytosis Others Disseminated intravascular coagulation Thrombotic thrombocytopenic purpura Hemolytic uremic syndrome Eclampsia (HELLP syndrome) AIHA, autoimmune hemolytic anemia; HELLP, hemolytic anemia, elevated liver function tests, low platelets.