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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goal-directed stepwise management ... 2) Subsequent ICU ... goals—if shock ... #CriticalCare #
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... infection SEPTIC SHOCK ... Clinical construct ... #SIRS #criticalcare ... #icu
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... bedside echo is never ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
tool to assess level ... will vary with clinical ... bradycardia. renal/liver ... #CriticalCare # ... diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... , ↓ Fibrinogen level ... of emergency, ICU ... #management #treatment ... #summary #rheumatology
Aplastic Anemia - Illness Script
Signs and symptoms:
 • Recurrent infections from neutropenia
 • Mucosal bleeding from
Symptomatic anemia Diagnosis ... neutropenic fever ... Aplastic #Anemia #diagnosis ... #management #treatment ... #hematology
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Factors: • SICU ... > MICU, ♀, ↑Age ... : • Clinical Suspicion ... clinical thrombosis ... #Hematology #HemeOnc
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Causes and clinical ... symptoms - Headache, fever ... , Hypotension, shock ... tests - Ice cube ... #rheumatology #
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Presentation in septic shock ... be considered if ... dysfunction or liver ... #Management #hepatology