7 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... (no B-lines on ultrasound ... Revascularization, treatment ... for acute MI if ... #Checklist #CHF
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #criticalcare #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #heartfailure #chf ... icu #clinical #pharmacology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... pulmonary edema ... • Hypovolemic shock ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... to 12 weeks for acute ... MC: CNS CSF: • ... fever • Septic shock ... Fungal #Diagnosis #Management
Blastomycosis Summary

Pathogen: 
 • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 • The fungus lives
The Disease: • Pulmonary ... (91%): Acute / ... adjacent to the focus ... pleural fluid, BAL, CSF ... Blastomycosis #diagnosis #management