13 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Retroperitoneal bleed ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... hypotension is treatment ... hypoCa2+ - occult bleeding ... shock #Diagnosis ... #Vasopressors #Differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
• Hemorrhagic: bleeding ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... esophageal variceal bleed ... from the ulcer caused ... around 90% of cases ... ebm #evidence #gastroenterology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... • Large volume feeding ... Lung Abscess Differential ... Abscess #pulmonary #differential ... #causes #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #diagnosis #differential ... #table #foamed ... heartfailure #chf #criticalcare
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Kidney stones caused ... • Hypovolemic shock ... with specific bleeding ... Tolvaptan) • Treatment ... #Medications #Table