38 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... and/or digoxin level ... #HeartFailure #Cardiology ... #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... • Persistent fever ... • Aggressive management ... criticalcare #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Tamponade - Pulmonary ... #Diagnosis #Management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Infections BRASH Syndrome ... blocking agent • Shock ... Hyperkalemia Pulmonary ... • Aortic Valve Endocarditis ... diagnosis #causes #cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Ameliorate increased work ... pressure (PEEP) for pulmonary ... for hemoglobin level ... #Shock #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... ultrasound - Calcium level ... - Triglyceride level ... as for septic shock ... abdominal compartment syndrome
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Subacute bacterial endocarditis ... Wilson's disease Pulmonary ... Spondyloarthropathies, SLE • Pulmonary ... disease, Vasculitis (e.g ... - Bacterial endocarditis
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup ... and Management ... Echinocandins (e.g ... clinical concern for endocarditis ... Consider: Spine, CNS, liver
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... Syndrome (STSS) ... (2+): kidneys, liver ... #Syndrome #STSS ... #treatment #management