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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Rapid IJ (aka Easy Internal Jugular Cannulation)

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sábado, 27 de mayo de 2017

Erythrocytosis

emDocs - May 24, 2017 - Author: Jeffers K - Edited by: Koyfman A and Long B
"Summary:
  • Consult hematology early for recommendations, further evaluation, and definitive treatment.
  • Secondary erythrocytosis is from numerous causes; a good history and physical will discover most of them! EPO level may be helpful for differentiation.
  • Treatment of secondary erythrocytosis includes removal of offending cause and possibly phlebotomy.
  • Consider PV in setting of elevated hemoglobin/hematocrit + symptoms (pruritus, headache, fatigue, difficulty thinking or sleeping, dizziness, hyperuricemia, and bleeding or thrombotic complications) especially in persons >60 years old.
  • Initial treatment of PV includes phlebotomy (consult your specialist) and low-dose aspirin.
  • Hyperviscosity syndrome: triad of bleeding, visual disturbances, and focal neurologic signs. Mainstay of treatment is hydration and hematology consult."