40 results
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... Diagnosis Pulmonary ... Pleural effusion, Pulmonary ... CHF, Hypertensive ... Chronic #Causes #Differential
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... • Sub-Valvular Disease ... Stable Angina • Acute ... Kyphoscoliosis • Abdominal ... Interstitium • ILD • CHF
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... , Severe Valve Disease ... • Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... #management
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Causes of Fever CRITICAL ... DIAGNOSES: - Acute ... infarction - Pulmonary ... edema EMERGENT
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... (Sens. 81% for acute ... coronary artery disease ... heartfailure #diagnosis #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute ... pulmonary edema ... Postoperative abdominal ... Tolvaptan) • Treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large ... (no B-lines on ultrasound ... Revascularization, treatment ... #Checklist #CHF
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
neuromuscular disease ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... hair) • Risk Of Clinical ... #criticalcare #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
myalgias, HoTN, edema ... Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... fraction < 20% Differential ... hepatitis • Pulmonary ... #diagnosis #management ... #treatment #rheumatology