51 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
dehydration due to renal ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... release syndrome, infusion
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV fusion ... have elevated JVP ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... 100/82, HR 74, JVP ... transthoracic echocardiogram ... circumferential pericardial effusion ... #Pericarditis #Echocardiogram
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... o infection • Echocardiogram ... LVEF, pericardial effusion ... crescentic GN by Nick ... differential #diagnosis #management
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... , Volume Exam (JVP ... CXR, CTA Chest, Echocardiogram ... Workup #diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... - Distended neck ... crackles, elevated JVP ... Shock #Diagnosis #Management
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
by Mechanism Renal ... Excessive IV Mg infusion ... Table #Causes #Management
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
flare, Pleural effusion ... Tumor, Pleural effusion ... Valvular disease Head/Neck ... acidosis (eg, DM, renal
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
pressure incr renal ... perfusion pressure ... Syndrome #Nephrology #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... maintain normal perfusion ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management