12 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Decompensated CHF ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... #Diagnosis #Management ... #Summary #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... and/or digoxin level ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... as for septic shock ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality BPAP - Bi-Level ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... #indications #criticalcare ... #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #Shock #Management ... #CriticalCare
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Noncardiac: • Pulmonary ... Testing: • TSH level ... thrombus • Digoxin level ... #diagnosis #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... bedside echo is never ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... - Infectious workup ... or TSH level if ... Pyridostigmine - New diagnosis ... #CriticalCare
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MC: CNS CSF: • ... India ink prep CSF ... • Septic shock ... device removal (if ... #Management #Infections