135 results
Acute Mountain Sickness 
Low partial pressure of oxygen at high altitude 
• Stop ascent 
• Supportive
Acute Mountain Sickness ... oxygen at high altitude ... • Descent #Mountain ... Diagnosis #Management #Altitude
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
Altitude Sickness ... : Acute Mountain ... Sickness (AMS), High Altitude ... HACE) and High Altitude ... #Sickness #Mountain
Acute Mountain Sickness - High Altitude
Incidence varies - rate increases with altitude and rate of ascent
Acute Mountain Sickness ... - High Altitude ... increases with altitude ... 6- 24 hour at altitude ... Bloodman #Acute #Mountain
Medications for High-Altitude Sickness 
Acetazolarnide 
 • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Medications for High-Altitude ... #HighAltitude #Altitude
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS"
Peripheral cyanosis 
• Cold 
• Obstruction 
• LVF and shock
Polycythemia • Altitude
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
2,3-BPG • High Altitude
Tick Borne Illnesses
 • Lyme (Borrelia)
 • Babesiosis (Babesia)
 • Human Monocytic Ehrlichiosis (Ehrlichia)
 • Human
Anaplasma) • Rocky Mountain
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
OSA/OHS, High altitude
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
fevers, Rocky Mountain
In 2018, opioid withdrawal should be considered a buprenorphine deficiency. Otherwise, a multitude of comparatively ineffective
Otherwise, a multitude