21 results
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Hypoxemia, Regional Ischemia ... Beta-Agonists, ↑ work ... infection, Mesenteric Ischemia ... #criticalcare #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
, - regional ischemia ... - regional ischemia ... pulmonary edema ... - Mesenteric ischemia ... peritonitis - Acute
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... leads) RV Ischemia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Approach to Diarrhea - Differential Diagnosis and Workup Algorithm

Acute Diarrhea (MINT):
 • Medications
 • Infections: Inflammatory
- Differential Diagnosis ... and Workup Algorithm ... Acute Diarrhea ... Necrosis • Toxic (e.g ... radiation, ingestions ischemia
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
hypertension (e.g ... - Myocardial ischemia ... type-II myocardial ischemia ... - Pulmonary edema ... #Algorithm #CriticalCare
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Elevated Lactate ... Legionnaires disease • Pulmonary ... hepatitis • Ischemic ... distinguishes ischemic ... injury • Demand ischemia
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... - Differential Diagnostic ... : R/O cardiac, pulmonary ... • Mesenteric ischemia ... Metabolic disease (e.g
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... • A lack of acute ... level <100 pg/ml EKG ... • Negative for ischemic ... #differential #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
) • Elevated lactate ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Management #Summary #criticalcare
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... 5) History of acute ... , Diaphoresis, Pulmonary ... Alkalosis, High Lactate ... Salicylate Level: 150mg/kg