14 results
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
deficit, Limb ischemia ... Pulmonary Embolism ... friction rub, Fever ... Pneumothorax: - Hx: Acute ... #Management #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... drained if causing acute ... antiarrhythmics - Ischemic ... #CHF #Shock #Cardiogenic
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
patients who have acute ... , such as: - Acute ... - Myocardial ischemia ... - Pulmonary edema ... #Algorithm #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment ... #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... • Persistent fever ... #criticalcare # ... diagnosis #management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
: • Common: fever ... • Rare: DAH, acute ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... #management #hematology
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... esp in work-up/management ... bedside echo is never ... #diagnosis #workup ... #criticalcare
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... , with ensuing ischemia ... infection • Cough, fever ... • Isolated fever ... #Management #Infections
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... #algorithm #management ... #heartfailure #chf ... #criticalcare #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... night sweats, fever ... Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... #management #cardiology