26 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Failure, Valvular Disease ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
• Sub-Valvular Disease ... Coronary Artery Disease ... • Stable Angina ... • Acute Coronary ... Interstitium • ILD • CHF
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Stroke • Renal: Acute ... arrhythmias, Cardiogenic shock ... cor pulmonale ... Extrapulmonary #Diagnosis #Signs ... #Symptoms #SARSCOV2
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treat underlying cause ... Tachycardia #Treatment #management
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
brief interval symptom ... rash • Others: nausea ... dysfunction) • Pulmonary ... hemorrhage • ARDS • Shock ... Diagnosis #Illness #Signs
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Pott's Disease in ... extrapulmonary cases ... Clinical Signs ... years - May have signs ... pulmonary TB PE
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... 5) History of acute ... ingestion/exposure Symptoms ... , Diaphoresis, Pulmonary ... edema, Shock Labs
Chagas Disease - Acute, Chronic and Reactivation 

Acute Chagas
 - 95% asymptomatic
 - Chagoma (Romana's sign),
Chagas Disease - ... Chagoma (Romana's sign ... , myocarditis (CHF ... or symptoms - ... Reactivation #Diagnosis #Table
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... Less Typical Symptoms ... HF → no signs of ... coronary artery disease ... heartfailure #diagnosis #management
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... life-threatening causes ... #Pericarditis #Symptoms ... #Signs #Presentation ... #comparison #Table