5 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management Checklist ... Troponin, Lactate, Liver ... edema - Large effusion ... (no B-lines on ultrasound ... cardiogenic shock #Checklist
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... output - Acute pulmonary ... mellitus/DKA - Liver ... gluconeogenesis Liver
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
gland) biopsy • Ocular ... salivary ducts Clinical ... thickening or effusion ... , INC risk PE, Pulmonary ... vasculitis: 10%-16% Liver
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Severe Influenza Checklist ... - Ferritin, liver ... function tests - Ultrasound ... needed to exclude effusion ... lab-confirmed influenza, pulmonary
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Occurs in advanced liver ... hepatitis, or acute liver ... perfusion + ↑ renal ... • Definitive: Liver ... • Urgent liver