12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Distributive: Sepsis ... • Cardiogenic: Acute ... MI, Acute Heart ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... Angiotensin - "Ang II" - Sepsis ... Vasopressors #Inotropes #management ... summary #comparison #table ... #pharmacology #
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Liver Injury - Differential ... Hepatic Artery: Shock ... • Infectious: Sepsis ... Liver #Injury #Differential ... #algorithm #hepatology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... Vascular tone): • Sepsis ... #Differential # ... Diagnosis #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Pre-Coronarv): Shock ... Distribution: Acute ... Post-Coronary) • Acute ... Occlusion • Stable
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
• Rare: DAH, acute ... initiation • Differential ... Diagnosis: Infection (sepsis ... APML #diagnosis #management ... #hematology #oncology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
history of trauma, sepsis ... malignancy (Especially acute ... dysfunction (16%) • Shock ... causes #treatment #management ... #hematology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... #diagnosis #differential ... #algorithm #management ... cardiology #treatment #table ... icu #clinical #pharmacology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute ... • Hypovolemic shock ... Diuresis #Nephrology #Pharmacology ... #Medications #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
/Shock, Autoimmune ... Neurological symptoms: Acute ... Reversible course Differential ... syndrome, ADEM, Acute ... Syndrome #diagnosis #management