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diagnosis shock algorithm lactate neurology pharmacology acidosis acute adjuvant amiodarone apml ardsnet cmv corticosteroids cytomegalovirus dermatology differentiation distress dress edema
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Understanding & Treating ARDS ... Syndrome • ... another process • Origin ... #Diagnosis #Management ... #CriticalCare
Original ARDSNet Mechanical Ventilation Protocol Acute Respiratory Distress Syndrome Network (ARDSNet) NIH NHLBI ARDS Clinical Network #Management #CriticalCare
Original ARDSNet ... Acute Respiratory Distress ... Syndrome Network ... Clinical Network #Management ... #CriticalCare #
Adjuvant therapies in critical care: steroids to treat infectious diseases - Severe Community Acquired Pneumonia
mechanical ventilation, ARDS ... acute respiratory distress ... syndrome, PJP Pneumocystis ... #Pharmacology #Management ... #Treatment #Indications
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
kidneys, liver, lung/ARDS ... Treatment Strategy ... day 2 + 3 BIDMC Infectious ... #STSS #treatment ... #management #diagnosis
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Ischemia, Compartment Syndrome ... Increased O2 Demand: Stress ... in Short Bowel Syndrome ... #Diagnosis #criticalcare
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Inflammatory Response Syndrome ... vs non-infectious ... >2 mmol/L Management ... recognition & treatment ... glycemic control, DVT/stress
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... SBP > 40 - End-organ ... Abdominal compartment syndrome ... #Diagnosis #criticalcare ... #management
Facial Swelling - Differential Diagnosis Framework for Facial Edema Infectious: • Dental abscess • Ludwig's angina • Vincent's angina • Cellulitis •
Facial Swelling - Differential ... Facial Edema Infectious ... ACE inhibitors/ARBs ... patients with multi-organ ... Swelling #Edema #Differential
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Definition: • Severe adverse drug reaction, characterized by
Resolution > 15 days Differentials ... Exanthematous Pustulosis Management ... disease: symptomatic treatment ... #Syndrome #dermatology ... #diagnosis #management
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
thyroid, Sjogren syndrome ... proximal weakness, arms ... life-threatening Differential ... precipitated by: Drugs, infection ... Gravis #diagnosis #management
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