18 results
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 ... idiopathic, liver, CTD, renal ... UGIB #GIBleed #Differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Retroperitoneal bleed ... exacerbation (any cause ... #Differential # ... Classification #Table #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... RP bleed) • Hypovolemic ... management #Overview #criticalcare ... #differential # ... causes #classification
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
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... of Glomerular Bleeding ... Exercise induced bleeding ... Pseudohematuria: • GI bleed ... #Hematuria #Differential
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
(64%) • Renal ... dysfunction (16%) • Shock ... Treatment: ... Treat primary cause ... #treatment #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... dehydration due to renal ... findings based on cause ... #Differential # ... table #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... albumin, trauma), Renal ... #diagnosis #differential ... guyton #curves #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... ->treatments include ... before beginning treatment ... deficiency - Renal ... Acidosis #Elevation #Differential