9 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... Summary Clinical ... active ROM +/- fever ... Workup: arthrocentesis ... #Summary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Failure, Toxins/Medications ... Decompensated CHF ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... mortality BPAP - Bi-Level ... status • Won't Work ... #criticalcare # ... management
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
consult - 1-liner summary ... for admission (if ... different) PMHx: - Focus ... disease work up ... of hypotension, shock
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
spleen, brain) Indications ... • Persistent fever ... infection (e.g. septic arthritis ... Endocarditis #checklist #criticalcare ... #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 ... note, discharge summary ... bedside echo is never ... #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for hemoglobin level ... If volume restoration ... #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
Fibrillation (A-Fib) Summary ... Decompensated HF ... Testing: • TSH level ... Absolute warfarin indications ... AFib #diagnosis #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MC: CNS CSF: • ... • Septic shock ... Meningitis, septic arthritis ... device removal (if ... Fungal #Diagnosis #Management