9 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... output - Acute pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Diagnosis Pulmonary ... decompensated CHF ... Neuromuscular disease (eg ... Metabolic acidosis (eg ... #Diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... ) • Elevated lactate ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Management #Summary #criticalcare
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Enteroviruses (e.g ... • Conjunctival suffusion ... CSF Lactate: Good ... meningitis • CSF-lactate
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #diagnosis #differential ... #heartfailure #chf ... #criticalcare #
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework ... disorder (Cardiac, pulmonary ... CPK aldolase, lactate ... electromyographic (EMG
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
needed to exclude effusion ... uncertainty (e.g ... fiQT) - Beta-lactam ... other indication (e.g ... lab-confirmed influenza, pulmonary