13 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Failure, Valvular Disease ... • Obstructive: Pericardial ... inopressors #diagnosis #management ... #comparison #table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion • Cardiac ... • Sub-Valvular Disease ... • Stable Angina ... • Acute Coronary
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Diagnosis and Management ... Summary Acute ... Acute myocarditis ... , pericardial effusion ... clinical evidence of cardiac
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... pericarditis, Pericardial ... - Pulmonary >> Acute ... Cardiac surgery? ... #Summary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway collapse ... neuromuscular disease ... COPD) • Other acute ... #indications #criticalcare ... #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute ... hyperaldosteronism • Acute ... • Bleeding • Cardiac ... #Medications #Table
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
(Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... coronary artery disease ... Consider cardiac ... heartfailure #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... Cardiac cath if ... differential #algorithm #management ... cardiology #treatment #table ... heartfailure #chf #criticalcare
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
Diagnosis and Management ... Summary Acute ... Acute myocarditis ... , pericardial effusion ... clinical evidence of cardiac
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... of the resting cardiac ... are typically able ... echocardiogram #management ... #clinical #criticalcare