15 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table #CriticalCare ... Symptoms #Findings #Comparison
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... common in OR; in MICU ... in refractory shock ... Inotropes #management #criticalcare ... #summary #comparison
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Treatment Goals ... #Differential # ... Diagnosis #criticalcare ... #algorithm #treatment
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Coccidioides - Negative ... Cryptococcus - Negative ... BAL GM does not differentiate ... - Frozen ice-pops ... Galactomannan #diagnosis #comparison
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table #comparison ... #criticalcare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... recognition and treatment ... #QSOFA #SIRS #criticalcare ... #icu
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... essential to determine treatment ... #diagnosis #differential ... guyton #curves #criticalcare
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
Cryptococcus Neoformans, Aspergillus ... cell carcinoma (native ... Renal #Transplant #differential ... urine #management #treatment
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
use: Candida, Aspergillus ... Almost always negative ... constituent of Aspergillus ... in BAL does not differentiate ... Penicillium), Frozen ice-pops
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
have achieved negative ... essentially Cardiogenic Shock ... #diagnosis #differential ... heartfailure #chf #criticalcare ... #icu #clinical