8 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Management #Summary #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... release syndrome, infusion ... uw_IMresidency #Shock ... #Differential # ... table #comparison #criticalcare
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... Nasopharyngeal PCR ... for COVID-19, influenza ... - CBC with differential
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock, cryptic ... shock. ... diminished tissue perfusion ... diagnosis #management #criticalcare ... #differential
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... as for septic shock ... pain-dose ketamine infusion ... Diagnosis #Management #CriticalCare
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Infections in HIV - Differential ... pneumonia • Seasonal influenza ... Pneumonia: • PVL ... pneumonia, pleural effusion ... AIDS #pulmonary #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... Adequate perfusion ... essentially Cardiogenic Shock ... #diagnosis #differential ... heartfailure #chf #criticalcare
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Severe Influenza ... antigens - Nares PCR ... function tests - Ultrasound ... needed to exclude effusion ... Checklist #Management #CriticalCare