9 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
• Cardiac surgery ... Pulse deficit/differential ... deficit • Shock ... Treatment - ED ... opiates • Control heart
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... decompensated heart ... Mechanical → severe aortic ... types #diagnosis #management ... #criticalcare #differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... /hypoxemia/Sepsis ... ->treatments include ... regional ischemia, surgery ... syndrome - Sepsis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Viridans Surgery ... Endocarditis #diagnosis #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
circulation and its ... (Sepsis, Shock, ... Consider Sepsis, ... echocardiogram #management ... criticalcare #foamed #treatment
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ) • Valvular heart ... • Minority of Pts ... : cardiogenic shock ... #cardiology #treatment
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Ovarian CA, involves aortic ... tumor embolism Septic ... hematuria, + RF Treatment ... Viridans Surgery
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Eclampsia, Infection/Sepsis ... /Shock, Autoimmune ... narrowing on MRA/CTA ... Reversible course Differential ... Syndrome #diagnosis #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Hematopoietic stem cell transplant ... Isolated fever • Septic ... shock • Mortality ... • Meningitis, septic ... Fungal #Diagnosis #Management