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diagnosis causes classification criticalcare lactate overview acidosis ams elevation encephalopathy fungal infectiousdiseases lactic map mycoses posterior pres reversible sepsis sirs
Altered Mental Status - Differential Diagnosis • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Altered Mental Status ... - Differential ... Diagnosis • Neurologic ... UTI, Pneumonia, Sepsis ... Encephalitis, Abscess
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
high risk): o Altered ... mental status ( ... Septic Shock • ... >2 mmol/L Management ... control (drain abscesses
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Inflammatory: infectious ... (sepsis) or not ... 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
Inflammatory: infectious ... (sepsis) or not ... AI, thyroid dz liver ... Classification #diagnosis #management ... #criticalcare #differential
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
mental status ... mental status ... /Sepsis/Shock, Autoimmune ... Reversible course Differential ... Syndrome #diagnosis #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... assessment - assess ... cardiac output - Acute ... peritonitis - Acute ... Acidosis #Elevation #Differential
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
presents with acute ... Mississippi and Ohio River ... Sinusitis • Brain abscess ... fever • Septic shock ... Fungal #Diagnosis #Management
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