19 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad: Fever ... fraction < 20% Differential ... Diaqnoses: • Infectious ... hepatitis • Pulmonary ... #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... , Severe Valve Disease ... • Obstructive: Pulmonary ... #Diagnosis #criticalcare ... algorithm #treatment #management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lymph nodes Risk ... • Pulmonary fibrotic ... Active TB: • Fever ... Inhibitor: • Risk ... TB #Diagnosis #Management
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Food products Risk ... Illnesses: • Pulmonary ... complicate MAC pulmonary ... infiltrates NTM Pulmonary ... #differential #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... Increased protein level ... normal glucose level ... Fungal #Diagnosis #Management
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
lymph nodes Risk ... • Pulmonary fibrotic ... Active TB: • Fever ... Inhibitor: • Risk ... TB #Diagnosis #Management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... pneumonia • DM risk ... decubitus - air fluid level ... Lung #Abscess #pulmonary ... #differential #
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... Phos), CBC with differential ... workup or TSH level ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... /lung sliding: Pulmonary ... interstitial lung disease ... interstitial diffuse infections ... POCUS #clinical #ultrasound
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
neuromuscular disease ... mortality BPAP - Bi-Level ... exacerbation (cardiogenic pulmonary ... #indications #criticalcare ... #management