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diagnosis differential management causes perioperative shock unknown workup anesthesia anesthesiology apml cardiogenic chf chronic criticalcare differentiation disorders edema endocarditis evaluation
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis • Infection: Extrapulmonary tuberculosis, Abscess, Endocarditis,
Causes of Fever ... Infected thrombosis, (e.g ... Lemierre's syndrome ... Brucellosis, Q fever ... Inflammatory Diseases (e.g
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... of Unknown Origin ... Other: • Drug fever ... • Factitious fever ... • Protozoa (eg
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... and/or digoxin level ... Optimize the MAP - HTN ... Nephrotoxins (e.g ... channel blocker (eg
Possible Algorithm for Workup of Fever of Unknown Origin (FUO) Tier 1 Workup: • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... of Unknown Origin ... release assay (e.g ... #Algorithm #Fever
Hypertensive Disorders of Pregnancy Chronic Hypertension: • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg •
And Proteinuria (e.g ... doubling of Cr), pulmonary ... of organ injury ... patients • HELLP: Syndrome ... #obstetrics #cardiology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... • Exercise • Fever ... • Fanconi's syndrome ... nephropathy • HTN ... Protein deposition (eg
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Actively maintained fever ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... (e.g. haloperidol ... Anesthesiology #Anesthesia #Checklist
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
edema • BNP level ... <100 pg/ml EKG ... respiratory distress syndrome ... HTN • Airway ... differential #diagnosis #cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP > 40 - End-organ ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... #criticalcare #algorithm
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... Prednisone 5mg/kg ... Subacute-Acute: • Common: fever ... , myalgias, HoTN ... Imaging: CXR- pulmonary
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