18 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Chagas Disease - Acute, Chronic and Reactivation 

Acute Chagas
 - 95% asymptomatic
 - Chagoma (Romana's sign),
Chagoma (Romana's sign ... , myocarditis (CHF ... or symptoms - ... (arrhythmia > CHF ... #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 ... *Chronic HFrEF may ... HF → no signs of ... heartfailure #diagnosis #management
Acute Pancreatitis vs Chronic Pancreatitis
Causes
Signs & Symptoms
Lipase
Imaging
Diagnosis
Treatment
Complications

SCVMC Internal Medicine @SCVMCMed

#Acute #Chronic #Pancreatitis #comparison #diagnosis #table
Acute Pancreatitis ... Causes Signs & ... Symptoms Lipase ... Imaging Diagnosis Treatment ... comparison #diagnosis #table
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage chronic cardiac ... HF, Cardiogenic ... shock, Arrythmias ... Low voltage Treatment ... Myocarditis #diagnosis #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
5) History of acute ... or chronic ingestion ... /exposure Symptoms ... Pulmonary edema, Shock ... #Treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... patients With chronic ... Revascularization, treatment ... for acute MI if ... #Checklist #CHF
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
exercise, after acute ... symptoms independent ... #Medications #management ... #treatment #comparison ... #table
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... • Hypovolemic shock ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology ... #Medications #Table
Optic Neuritis - Diagnosis and Management
 • Epidemiology: Female (75%), 18-50 years,
caucasian
 • Symptoms: Moderate visual
Diagnosis and Management ... caucasian • Symptoms ... orbital pain, (Sub)acute ... Unilateral • Signs ... lesions (b) • CSF