28 results
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
> 50x normal - Ischemic ... > 20x normal - Acute ... AST:ALT = 1 - Ischemia ... , CHF AST:ALT ... Viral Hepatitis, Ischemic
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
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare #
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
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
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Troponin, Lactate ... drained if causing acute ... antiarrhythmics - Ischemic ... treatment for acute ... #Checklist #CHF