10 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... Tamponade, Severe pHTN ... Dehydration Shock Treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... ) • Fever and hypotension ... : No • Treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... RVSP) - Estimates pulmonary ... moderate (or worse) PPHTN ... pressure < 15mmHg TREATMENT ... diagnosis #management #hepatology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
hypertension Rx ... Optimize the MAP - HTN ... 20 mg q6hr) - Hypotension ... Revascularization, treatment ... #Checklist #CHF
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchiectasis, sinusitis ... signs of chronic sinusitis ... hypertension • ... mycobacteria Treatment ... #differential #
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Reversible course Differential ... the brain • CSF ... epilepticus Treatment ... underlying cause • Treatment ... of HTN is the mainstay
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... Renal Failure Treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... essential to determine treatment ... RV Failure (PE, PHTN ... Cardiac Tamponade, Pulmonary ... Shock #diagnosis #differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... Abdominal pain • HTN ... Cerebrospinal fluid (CSF ... destructive rhinitis/sinusitis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... heart disease • Hypertensive ... cardiomyopathy • Pulmonary ... May have typical HF ... management #cardiology #treatment