23 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Insufficiency, Liver ... Dehydration Shock ... Treatment Goals ... criticalcare #algorithm #treatment
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... characterized by shock ... (2+): kidneys, liver ... necrosis STSS Treatment ... Syndrome #STSS #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... essential to determine treatment ... Shock can be broken ... neuraxial anesthesia), Liver
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
Without treatment ... blood vessels, liver ... syphilis #clinical #photo
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
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
Echinococcal Cysts in the Liver ... right lobe of the liver ... #clinical #NEJM ... echinoccocal #cyst #liver ... #hepatic #radiology
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
accumulation in the liver ... calcifications #infant #NEJM ... #Wolmans #radiology
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
Without treatment ... blood vessels, liver ... syphilis #clinical #photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
including chronic liver ... #clinical #photo ... #NEJM #vibrio #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Troponin, Lactate, Liver ... function tests if shock ... Revascularization, treatment ... #HeartFailure #Cardiology