25 results
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
hypotension is treatment ... non-responders: - acidosis ... occult bleeding - toxicologic ... - 2nd cause shock ... #Diagnosis #Nonresponse
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... Pulmonary edema, Shock ... Aspirin #Toxicity #Toxicology ... #diagnosis #management ... #Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... ->treatments include ... mellitus/DKA - Liver ... gluconeogenesis Liver
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... Treatment Goals ... #Differential #Diagnosis ... #management
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... 50% in nec fasc Diagnostic ... (2+): kidneys, liver ... necrosis STSS Treatment ... #management #diagnosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Associated Lactic Acidosis ... cycle found in the liver ... anaerobic metabolism Diagnosis ... LacticAcidosis #Toxicity #Toxicology ... #Diagnosis #Management
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
Abdominal pain, nausea ... deterioration Shock ... and cardiogenic shock ... Poisoning #Toxicity #Toxicology ... #Diagnosis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis ... #management #Overview ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Renal: metabolic acidosis ... AI, thyroid dz liver ... Classification #diagnosis ... #management #Overview ... #differential #causes
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
and treatment of ... symptoms, elevated liver ... A liver biopsy can ... of liver disease ... #management #hepatology