7 results
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Management Summary ... active ROM +/- fever ... Workup: arthrocentesis ... #Diagnosis #Management ... #Summary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... Decompensated CHF ... #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
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
/management of shock ... note, discharge summary ... bedside echo is never ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Increased protein level ... normal glucose level ... • Septic shock ... Meningitis, septic arthritis ... #Management #Infections
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 ... Absolute warfarin indications ... Fibrillation #AFib #diagnosis ... #management #cardiology