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management differential causes treatment cardiology classification acidosis algorithm lactate lactic nephrology rheumatology table workup comparison erythematosus foamed hepatology hepatorenal hrs
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... dehydration due to renal ... anaphylaxis, release syndrome ... table #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... cytokine release syndrome ... albumin, trauma), Renal ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... Setup - Ultrasound ... #Diagnosis #Management ... #Summary #criticalcare
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
- Differential Diagnosis ... ultrasound, Tests ... Duplex Doppler ultrasound ... • Cushing’s syndrome ... #Differential #Diagnosis
Leptospirosis Pathogen: Leptospira (interrogans, kirschneri, noguchii) Risk Factors: • Occupational exposure - Farmers, ranchers, trappers, veterinarians • Recreational
: conjunctival suffusion ... Weil's Disease: Jaundice ... + renal failure ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... vomiting/diarrhea), renal ... Classification #diagnosis ... management #Overview #criticalcare
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... vomiting/diarrhea), renal ... Classification #diagnosis ... management #Overview #criticalcare
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... 20% HAS) • No shock ... haematuria, Normal renal ... ultrasound HRS-NAKI
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
- Differential Diagnosis ... Bradycardia • Renal ... blocking agent • Shock ... Sotalol • Propofol infusion ... #differential #diagnosis
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
management - RUQ ultrasound ... as for septic shock ... abdominal compartment syndrome ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
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