22 results
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Allergic/Immune: • Anaphylaxis ... • Hereditary ... angioedema Congenital ... malformations • Anaphylaxis ... • Vocal cord
Facial Swelling from Hereditary Angioedema on Physical Examination

19 year old Hereditary Angioedema (HAE) patient from Turkey.
Swelling from Hereditary ... Angioedema on Physical ... Examination 19 year old ... Hereditary Angioedema ... #Angioedema #clinical
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... • Sepsis/SIRS, anaphylaxis ... • MI, CHF • Cold ... tamponade • Cold ... and Dry #Shock
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Cold Urticaria Prevalence ... Female predominance Anaphylaxis ... lesions - Wheals/angioedema ... , Hypotension, shock ... #rheumatology #comparison
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Sepsis • Anaphylaxis ... • Neurogenic Cold ... - Cardiogenic Shock
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Inflammatory: Anaphylaxis ... , Angioedema, Epiglottitis ... Functional: Vocal fold ... Paradoxical vocal fold ... , Anaphylaxis, Carcinoid
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... - Septic - Anaphylaxis ... - Spinal cord ... a.k.a. neurogenic shock ... DrEricStrong #Shock
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Adrenal crisis - Anaphylaxis ... #Cardiogenic #Comparison
Tranexamic Acid - Indications and Pharmacology
Pharmacokinetics:
 • MOA: Inhibits plasminogen activation to plasmin & inhibits fibrinolysis
swelling in w/ hereditary ... angioedema) • ... Hypersensitivity & anaphylaxis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis, Anaphylaxis ... #Vasopressors #shock ... diagnosis #management #comparison