13 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
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology ... #Medications #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 ... Dinitrate • Diuretics ... heartfailure #diagnosis #management
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
ARDS to explain symptoms ... : Age>60, CKD, CHF ... At least 3 of (Acute ... : Supportive + diuresis ... diagnosis #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
excreted using diuretics ... essentially Cardiogenic Shock ... #table #foamed ... #heartfailure #chf ... icu #clinical #pharmacology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
syndrome • Triggers: Diuretics ... Dehydration • Symptoms ... - ACS, AKI, acute ... WBC >100k, + lab signs ... TLS #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... hypovolemia - Diuresis ... Revascularization, treatment ... for acute MI if ... #Checklist #CHF
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Diagnosis: >3 symptoms ... sepsis), PE, DAH, CHF ... Supportive Care: Diuresis ... APML #diagnosis #management
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
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