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algorithm management acidosis alteredmentalstatus ddxof em hematology lactic treatment causes classification cns delirium elevation encephalitis encephalopathy foamed hemolysis infections meningitis
Differential Diagnosis for Altered Mental Status #Diagnosis #EM #IM #Delirium #AlteredMentalStatus #AMS #Differential #Algorithm #Ddxof
Differential Diagnosis ... for Altered Mental ... Status #Diagnosis ... #EM #IM #Delirium ... AlteredMentalStatus #AMS
Causes of Altered Mental Status #Diagnosis #EM #IM #AMS #AlteredMentalStatus #Differential #Algorithm #Ddxof
Causes of Altered ... Mental Status # ... Diagnosis #EM #IM ... #AMS #AlteredMentalStatus ... #Differential #
Acute Altered Mental Status - Rapid Response Management 1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Status - Rapid ... hyper/hypoactive, POC ... Workup 5) Treat ... #criticalcare # ... encephalopathy #differential
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... • Oliguria • Altered ... ) • Elevated lactate ... Anaphylactic >> IM ... Management #Summary #criticalcare
Hemolysis - Differential Diagnosis Framework 1) Environment - Fragmentation - MAHA: TTP, HUS, DIC, HELLP
Diagnosis Framework ... HELLP - Grafts, Valves ... Drug-associated, PCH ... Defects: Sickle cell anemia ... Haptoglobin ↓ - Lactate
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Shock, Severe Anemia ... Beta-Agonists, ↑ work ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... www.ncbi.nlm.nih.gov/pmc ... to bolus these values ... presentations and disease states ... 30mmHg) - Severe anemia
TTP - Laboratory Evaluation for Thrombotic Thrombocytopenic Purpura Activity of von Willebrand factor-cleaving protease activity - A
activity - A low value ... If the value is ... elevation Serum lactate ... WBC count and differential ... #Workup #Hematology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework Viral Encephalitis: MCC: Enteroviruses (e.g., coxsackievirus
rigidity) • Altered ... mental status. ... CSF Lactate: Good ... meningitis • CSF-lactate ... /l is regarded as
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... hormones that work ... convert Pyruvate to Lactate ... #diagnosis #differential ... management #treatment #criticalcare
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