11 results
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD Overlap ... tests, such as blood ... = asthma-COPD overlap ... ACOPD #Asthma #Overlap ... #FirstLine #Differences
Tailoring Vasopressors to a Patient's Physiology

Overall, norepinephrine, epinephrine, and vasopressin are all supported by evidence as
Patient's Physiology Overall ... Selection #Algorithm #FirstLine
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Congestion with volume overload ... BP, blood pressure ... ; HF, heart failure ... Diuretic #Diuresis #CHF
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
equalisation of blood ... gravitational difference ... equalisation of blood ... during a period of CHF ... Radiology #CXR #CHF
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
of high parity blood ... : Age>60, CKD, CHF ... Pathophysiology: Volume overload
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... screen - determines blood ... Transfusion Cardiac Overload ... Volume overload ... patients with CHF
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Blood Transfusion ... the banked donor blood ... Transfusion Cardiac Overload ... Volume overload ... patients with CHF
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
gravity dependent difference ... transudate like in CHF ... to infection, blood ... Radiology #CTChest #CHF
Perioperative Medications - Which Medications to Hold or Continue?
Aspirin - Continue
 • Aspirin should be continued
reasons other than HF ... indication is for HF ... patients with HF ... history of low blood ... /benefits, but overall
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
neutropenia, and iron overload ... • Major blood ... MC: CNS CSF: • ... India ink prep CSF ... have positive blood