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differential classification criticalcare causes management acidosis algorithm cardiology edema lactate lactic ncpe nephrology noncardiogenic table cold curves disorders diuresis diuretics
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... , Cushing syndrome ... #Differential #Diagnosis ... Algorithm #nephrology #sodium
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... to infection • Neurogenic ... or spinal cord injury ... due to loss of Sodium ... #diagnosis #management
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential Diagnosis ... Medications, Spinal Cord Injury ... , CVP > 12 • Pulmonary ... #Differential #Diagnosis ... #Types #criticalcare
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... infection • Neurogenic ... or spinal cord injury ... due to loss of sodium ... #diagnosis #management
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome ... ), Neurogenic (SCI ... #diagnosis #differential
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... 1.5 High CO / Low ... Medications, Spinal Cord Injury ... • Obstructive: Pulmonary ... Abdominal compartment syndrome
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... respiratory distress syndrome ... /eclampsia • Neurogenic ... cerebral hemorrhage, seizure ... #differential #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
liver or renal injury ... Heavy exercise - Seizures ... LV failure - Low ... output - Acute pulmonary ... - Compartment syndrome
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Ischemia, Compartment Syndrome ... Hypothermia & Shivering, Seizures ... toxic alcohols, Sodium ... in Short Bowel Syndrome
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... Torsemide) • Acute pulmonary ... • Hyponatremia ... • Hypovolemic shock ... and euvolemic hyponatremia
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