21 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
Fever, spinal pain ... Focal severe back pain ... Diagnosis: - MRI ... imaging as needed Treatment ... Abscess #diagnosis #management
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison ... medication assisted treatment ... Buprenorphine #Comparison ... #Pain #Management
Optic Neuritis - Diagnosis and Management
 • Epidemiology: Female (75%), 18-50 years,
caucasian
 • Symptoms: Moderate visual
Diagnosis and Management ... Moderate orbital pain ... R-G or B-Y • MRI ... corticosteroids TREATMENT ... #treatment #rheumatology
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Diagnosis and Management ... Colicky flank pain ... disease Imaging and Treatment ... CT/MRI of the thorax ... RCC #Diagnosis #Management
Diabetic Myonecrosis (Diabetic Muscle Infarction)
 • Spontaneous ischemic necrosis of skeletal muscle (anterior thigh or calf)
muscle swelling & pain ... • Diagnosis: MRI ... weeks with above treatment ... Infarction #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... if uncontrolled pain ... Delirium #Checklist #Management ... #Treatment #MICU ... #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
guide targeted treatments ... CAM-ICU) - Pain ... PICS #diagnosis #management ... #criticalcare #
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Hands or feet • Pain ... axonal form • MRI ... Treatment: • Plasmapheresis ... Syndrome #diagnosis #management ... #treatment #neurology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Shock - MI ... Shock #Diagnosis #Management ... #Summary #criticalcare ... #treatment #workup