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management delirium causes treatment algorithm altered ams checklist aflp alcohol apml aws cardiology chf clinical comatose comparison coronavirus covid19 differentiation
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
Addressing the ICU ... 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 ... Evaluation #Workup #MICU ... #CriticalCare # ... Diagnosis
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Delirium in the ICU ... If Wernicke's encephalopathy ... severe nocturnal agitation ... Management #Treatment #MICU ... #CriticalCare
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
Post-Intensive Care Syndrome (PICS) Symptoms of PICS: - Physical Domain: Generalized weakness, Fatigue, Difficulty walking - Cognitive
RISK FACTORS - ICU ... screening (CAM-ICU ... #PICS #diagnosis ... #management #criticalcare ... #icu
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
- Differential ... Diagnosis Algorithm ... Vascular (IS, ICH ... paraneoplastic syndromes ... #Differential #
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 #
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
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... initiation • Differential ... organ dysfuxtion, ICU ... Differentiation #Syndrome ... #APML #diagnosis
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • If ok with ICU
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