12 results
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Status (AMS) - Differential ... Diagnosis Framework ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... #Diagnosis #causes
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
When trying to differentiate ... Serotonin Syndrome ... FAST movements (agitation ... resolution #Diagnosis ... NeurolepticMalignant #Comparison #Table
Causes of Encephalopathy - Differential Diagnosis Algorithm
Hyperacute:
 - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
- Differential ... Diagnosis Algorithm ... Vascular (IS, ICH ... paraneoplastic syndromes ... #Differential #
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... bradycardia • Ketamine ... #CriticalCare # ... diagnosis #management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... - CBC with differential ... if hypercapneic encephalopathy ... #CriticalCare # ... Diagnosis
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
• Hyperactive (Agitation ... Hypoactive 3) Examine ... status #Management #criticalcare ... #encephalopathy ... #differential #
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
(encephalopathy ... ataxia), Korsakoff syndrome ... vitamin #nutrition #table ... #differential # ... diagnosis #bariatric
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... anaphylaxis, release syndrome ... #Diagnosis #table ... #comparison #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
abdominal compartment syndrome ... and pain-dose ketamine ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
of Pregnancy (ICP ... necrosis HELLP Syndrome ... coagulopathy, encephalopathy ... hepatitis #comparison #differential ... #diagnosis #icp