39 results
Initiation of ART in HIV patients with Opportunistic Infections
 • Pulmonary TB and CD4 cell count
Opportunistic Infections ... • Pulmonary TB ... count <50 • Pulmonary ... of starting OI treatment ... Antiretroviral #Therapy
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
diet, d/c culprit medications ... Acute and chronic treatment ... Urate Lowering Therapy ... Urate Lowering Therapy ... (ULT): 1) 2+ flares
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... PPI Oxygen Therapy ... diagnosis #Management #treatment ... #criticalcare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... Treatment Systemic ... - Indications ... #Embolism #Treatment ... AcutePE #Management #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
SKIN RASHES 



Skin rashes can occur from a variety of factors, including infections, heat, allergens, immune
factors, including infections ... disorders and medications ... important to make treatment ... rashes into these classes
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... - Review the medication ... pharmacologic therapy ... antipsychotic therapy ... #MICU #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... for metastatic infection ... spleen, brain) Indications ... metastatic foci of infection ... Endocarditis #checklist #criticalcare
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
antiretroviral therapy ... antiretroviral therapy ... Lymphadenitis, pulmonary ... lymphadenitis, pulmonary ... , hypoxia, and pulmonary
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Incomplete/relief/treatment ... Failure of optimal therapy ... Desire to stop medication ... • Intolerable medication