11 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High ... Distributive: Sepsis ... Treatment Goals ... #management
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
(≥2 indicates high ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... #sirs #shock #lactate
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... seems like DKA, sepsis ... Pulmonary edema, Shock ... Respiratory Alkalosis, High ... #Treatment
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... areas, back of thigh ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... areas, back of thigh ... Inflammatory: infectious (sepsis ... Classification #diagnosis #management ... #criticalcare #differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high ... Pulse deficit/differential ... deficit • Shock ... Treatment - ED ... Dissection #diagnosis #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... • Attempt if high ... initiation • Differential ... Renal Failure Treatment ... APML #diagnosis #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... Excessive insulation, high ... anaesthesia • Sepsis ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Eclampsia, Infection/Sepsis ... /Shock, Autoimmune ... Reversible course Differential ... epilepticus Treatment ... Syndrome #diagnosis #management
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
brainstem lesions, aseptic ... Behcet disease) Differential ... Arthritis, AS Treatment ... exacerbations: high-dose ... Syndrome #diagnosis #management