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Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SBP drop >40, MAP ... Setup - Ultrasound ... #Summary #criticalcare ... #treatment #workup
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
MAP = CO x SVR ... failure, acute MI ... findings based on cause ... anaphylaxis, release syndrome ... table #comparison #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... ->treatments include ... ischemia, surgery may ... before beginning treatment ... - Compartment syndrome
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... This condition may ... experience, the cause ... or induced by treatment ... #clinical #video
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... acute coronary syndrome ... the determined cause ... heartfailure #chf #criticalcare
Sepsis - Diagnosis and Management Life-threatening organ dysfunction caused by a dysregulated host response to infection SEPTIC SHOCK
organ dysfunction caused ... Clinical construct ... vasopressors to maintain MAP ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Hypertensive crisis may ... Infection/Sepsis/Shock ... the underlying cause ... • Treatment of ... with AEDs until cause
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
- MSK Radiology ... Case description ... >1 mm AP, ... #mri #clinical ... #Radiology #diagnosis
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology Imaging Findings: • Ovoid hypointense structures along the bursal surface
Disease (HADD) - MSK Radiology ... Case description ... • Treatment for ... #mri #clinical ... #Radiology #diagnosis
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