18 results
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... complicated by septic shock ... CAP present in 1 ... criteria: Septic shock ... CAP #Community #Acquired
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
High Output Heart ... Failure - Pathophysiology ... Congenital (e.g., HHT), Acquired ... cardionerds #High ... Differential #Diagnosis #cardiology
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... CAP present in 1 ... criteria: Septic shock ... ), Leukopenia (WBC ... CAP #Community #Acquired
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Lactate > 1.5 High ... Injury Low CO / High ... Treatment Goals: 1) ... 3) UOP > 0.5 cc
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Overview Normal: < 1% ... with moderate and high ... hypotension or septic shock ... #CBC #hematology ... #pathophysiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
STEMI NSTEMI: 1. ... Unstable/cardiogenic shock ... intermediate (3-4) or high ... /UA, TIMI low (1- ... catheterization #cardiology
Bullous Pemphigoid - Diagnosis and Management Summary
Pathophysiology: Autoantibody-mediated damage to epithelial basement membrane -> separation of
Management Summary Pathophysiology ... Management: 1. ... High-potency topical ... glucorticoids if 1) ... not feasible CMC
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
pain, Fever, ↑WBC ... Toxic Megacolon, Shock ... Perforation) Pathophysiology ... can be community-acquired ... 10 mg/kg IV x 1
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... echocardiography - CBC ... function tests if shock ... on context Rx 1 ... #HeartFailure #Cardiology
Systemic Inflammatory Response Syndrome (SIRS)
•	Non-specific (infections vs non-infectious)
•	≥2 of the following:
o	Temp >38°C or <36°C
o	HR >90 bpm
o	RR
PaCO₂ <32 mmHg o WBC ... (≥2 indicates high ... Septic Shock • ... treatment (within 1 ... #sepsis #sirs #shock