21 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... embolism • Left ventricular ... #Algorithm #shock
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... patient with right ventricular ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... rupture, VSD, etc.), Ventricular ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
host response to infection ... Cold and Dry) • Pulmonary ... venous return/ventricular ... Classification #Types #diagnosis ... #management #cold
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
host response to infection ... embolism or severe pulmonary ... venous return/ventricular ... Classification #types #diagnosis ... #management #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Obstructive: Pulmonary ... #Differential #Diagnosis ... #criticalcare #algorithm ... #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... for metastatic infection ... #criticalcare #diagnosis ... #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... check eosinophil count ... confirm DAH, r/o infection ... #differential #diagnosis ... #management #treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Histoplasmosis Diagnosis ... Increased leukocyte count ... : • Pulmonary ( ... fever • Septic shock ... #Management #Infections
“Step by Step” – the new kid on the block – aims to risk stratify this
serious bacterial infections ... components of the algorithm ... Absolute Neutrophil Count ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics