61 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
pneumonia vs. heart failure ... BiLevel #HFNC #HighFlow ... #NIPPV #Noninvasive ... RespiratorySupport #Selection #Algorithm
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
mortality), Other causes ... of respiratory failure ... Extubation to NIPPV ... MD @nickmmark #NIVPPV
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial of NIPPV ... criticalcare #hypoxia #failure ... #algorithm #survivingsepsis
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... • Renal Failure ... , liver failure, ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Differential Diagnosis Algorithm ... Chronic Renal Failure ... Renal Cancer or Failure ... Differential #Diagnosis #Algorithm ... Endocrinology #Causes
Amenorrhea - Differential Diagnosis Algorithm
Elevated FSH
 • Premature Ovarian Failure
 • Menopa use
 • Spontaneous
Bleed With
Differential Diagnosis Algorithm ... Premature Ovarian Failure ... Hyperprolactinemia Organic Cause ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... • Acute liver failure ... Post-Hepatic: • Heart failure ... #Hepatology #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Differential Diagnosis Algorithm ... • Right heart failure ... Differential #Diagnosis #Algorithm ... #Causes
Causes of Hypocalcemia - Differential Diagnosis Algorithm
 • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
Causes of Hypocalcemia ... Differential Diagnosis Algorithm ... intake and renal failure ... Differential #Diagnosis #Algorithm ... #Causes #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... chronic renal failure ... Cirrhosis, Cardiac failure ... #Causes #nephrology