tag:blogger.com,1999:blog-1082043695614050816.post2451241091102680992..comments2024-03-18T16:15:12.968+07:00Comments on Phimaimedicine: 603. G-6-PD deficiency anemiaMy bloghttp://www.blogger.com/profile/11916499042873608927noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-1082043695614050816.post-13421977616948165902010-06-23T16:37:17.467+07:002010-06-23T16:37:17.467+07:00R/o Intravascular Hemolysis causes
DDx
--G6PD or ...R/o Intravascular Hemolysis causes<br />DDx <br />--G6PD or other pyruvate kinase deficiency, TTP, DIC, PNH, Prosthetic valve, Infection<br />--hemoglobin H<br />--Hereditary Spherocytosis<br />--AIHA<br />--Malaria<br /><br />-Rx causes เช่น Rx Infection, หยุดยาหรืออาหารที่เป็นเหตุ<br />-ให้ O2<br />-ให้เลือด<br />-ให้ Fe ถ้า loss fe[ไม่ใช่ Chronic Thalassemia],Folic,B12<br />-isotonic saline infusion keep urine output > 100 ml/hr<br />-monitor Ca Po4 K Cr and anticipate ARF<br />-Alkalinize urine keep pH of urine > 6.5<br />-ถ้ายังไม่ได้ Diuresis พิจารณา Furosemide or manitol<br />-Dialysis ตาม indicationสนnoreply@blogger.com