10 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Failure, Valvular ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Elevated Troponin Differential ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... • Focal, Non-Vascular ... Occlusion • Stable
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... Less Typical Symptoms ... (Sens. 81% for acute ... HF → no signs of ... heartfailure #diagnosis #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cathepsin G release → vascular ... Diagnosis: >3 symptoms ... initiation • Differential ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
with the same symptoms ... other collagen vascular ... cerebrospinal fluid (CSF ... headache #redflags #signs ... #symptoms #differential
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
duodenum Clinical Signs ... /Symptoms: • Classic ... • Should be on differential ... patients with acute ... #Summary #vascular
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Infection/Sepsis/Shock ... Neurological symptoms ... cortical lesions • Vascular ... Reversible course Differential ... Syndrome #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... #diagnosis #differential ... #algorithm #management ... cardiology #treatment #table ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... or dilated) • Valvular ... May have typical HF ... Pts: cardiogenic shock ... Delivery • Stable
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
• A form of acute ... ⚠️ Cardiogenic shock ... Relaxin: reduces vascular ... , selenium) Differential ... recognition and management