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diagnosis causes classification criticalcare shock ams encephalopathy infectiousdiseases lactate mental overview acidosis elevation emergency fungal headache lacticacidosis mala map metformin
Altered Mental Status - Differential Diagnosis • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Altered Mental Status ... - Differential ... UTI, Pneumonia, Sepsis ... Encephalitis, Abscess ... #Mental #Status
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
vs non-infectious ... high risk): o Altered ... mental status ( ... >2 mmol/L Management ... control (drain abscesses
Metformin Associated Lactic Acidosis (MALA) Pathophysiology of MALA - Metformin interferes with the activity of the
Metformin Associated Lactic ... cycle found in the liver ... gastrointestinal distress and acute ... respiration - altered ... mental status
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Acidosis - Differential ... presentations and disease states ... assessment - assess ... cardiac output - Acute ... peritonitis - Acute
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview A state ... Inflammatory: infectious ... AI, thyroid dz liver ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview A state ... Inflammatory: infectious ... AI, thyroid dz liver ... Classification #diagnosis #management ... #criticalcare #differential
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Neurological symptoms: Acute ... Reversible course Differential ... Diagnosis: • Infection ... syndrome, ADEM, Acute ... Syndrome #diagnosis #management
Acute Altered Mental Status - Rapid Response Management 1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... Status - Rapid ... Response Management ... glucose, security, access ... encephalopathy #differential
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Immunocompromised status ... Postoperative status ... other RGM • Plastic ... (elevations of liver ... #differential #
Emergent Causes of Headache and Associated Risk Factors Carbon monoxide poisoning - Breathing in enclosed or confined
encephalitis, abscess ... of sinus or ear infection ... Immunocompromised state ... altered mentation ... signs #symptoms #differential
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