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causes management algorithm cardiology hypertension pharmacology workup acidosis bradi bradycardia chf classification clinical curves diuresis diuretics elevation encephalopathy endocrinology excretion
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... nodal blocking agents ... • Shock • Hyperkalemia ... Heart block Medications
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... Failure, Toxins/Medications ... Treatment Goals ... Diagnosis #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... thyrotoxicosis), Medications ... #diagnosis #differential ... guyton #curves #criticalcare
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Causes of Secondary ... Diagnosis Approach ... antihypertensive agents ... with previously stable ... #Diagnosis #indications
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Diagnosis and Screening ... (correction of hypokalemia ... withdrawal of suspected agent ... Screening #Workup #table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Immunosuppressive agents ... Blood transfusion, Hypercalcemia ... Reversible course Differential ... Electrolyte abnormality, Medication
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
thyroiditis Secondary ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... radiocontrast agent ... #differential #
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Diuretics and Agents ... Hyponatremia • Hypercalcemia ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Table
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... ->treatments include ... the offending agent ... before beginning treatment ... - HIV/HAART medications
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... essentially Cardiogenic Shock ... #diagnosis #differential ... #table #foamed ... heartfailure #chf #criticalcare
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