10 results
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... / hypoxemia -> focus ... Causes of Lactate ... output - Acute pulmonary ... #typea #typeb #classification
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... , Diaphoresis, Pulmonary ... Alkalosis, High Lactate ... Toxic Salicylate Level ... : 150mg/kg Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... - Troponin, Lactate ... and/or digoxin level ... #HeartFailure #Cardiology ... #Management
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Hepatic Encephalopathy ... Diagnosis and Management ... rule out other causes ... Encephalopathy #Grading #Classification ... #treatment #hepatology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for Three Common Causes ... pressure (PEEP) for pulmonary ... SEPTIC SHOCK • ... for hemoglobin level
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
sided in 85% of cases ... may develop • Management ... TIPS, Liver transplant ... Hydrothorax #diagnosis #hepatology ... #pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Common bacterial causes ... from contiguous focus ... through: - Hepatic ... artery (e.g., endocarditis ... differential #diagnosis #hepatology
Legionnaires' Disease
Clinical features:
 • Gl- nausea, vomiting, diarrhea
 • Hyponatremia
 • Elevated transaminases
 • CRP >100
features: • Gl- nausea ... to respond to B-Lactams ... Pontiac fever ... Extra-pulmonary: ... Disease #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
night sweats, fever ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... Treat underlying cause ... Differential #Diagnosis #cardiology