10 results
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
Chloride (Cl-) content ... The high CL- content ... Balanced crystalloids ... #foamed #criticalcare ... pharmacology #physiology #crystalloids
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... blood count with differential ... depending on clinical context ... ANCA, ANA, Anti-GBM ... Workup #Algorithm #Differential
SMART Trial - Balanced Crystalloids versus Saline in Critically Ill Adults 

N Engl J Med 2018;
Trial - Balanced Crystalloids ... use of balanced crystalloids ... Trial #Balanced #Crystalloids ... VisualAbstract #EBM ... #CriticalCare
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
consider depending on context ... - CBC with differential ... #Workup #MICU #CriticalCare
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Approach to the differential ... Cytomegalovirus; GBM ... its creatinine content ... #Algorithm #differential
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
9 don't forget context ... they are in the context ... BMs (know last BM ... Bundle #Checklist #CriticalCare
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
total body sodium content ... osmolality helps to differentiate ... #Hypovolemia #EBV
Empty fluid-filled sac within the endometrium. Given the absence of contents, you cannot differentiate gestational vs
the absence of contents ... , you cannot differentiate ... IUP #Clinical #EM
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Examine: Always get context ... status #Management #criticalcare ... encephalopathy #differential
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Rhabdomyolysis - Differential ... with leakage of contents ... Differential Diagnosis ... Coxsackie virus, EBV ... Rhabdomyolysis #Differential