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diagnosis algorithm cardiology foamed lactate acidosis acute ardsnet cardiomyopathy chf clinical dermatology distress dress encephalopathy heartfailure icu lactic map mechanical
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 #
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... kidneys, liver, lung/ARDS ... Treatment Strategy ... #Syndrome #STSS ... #treatment #management
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... SBP > 40 - End-organ ... Abdominal compartment syndrome ... Diagnosis #criticalcare ... #management
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic Shock ... Increased O2 Demand: Stress ... Excerpted from original ... #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 ... Septic Shock • ... >2 mmol/L Management ... recognition & treatment ... glycemic control, DVT/stress
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Infection/Sepsis/Shock ... Reversible course Differential ... epilepticus Treatment ... underlying cause • Treatment ... #diagnosis #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... for Refeeding Syndrome ... #diagnosis #differential ... #algorithm #management ... #treatment #criticalcare
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... infarction • Stress ... factors + oxidative stress ... Pts: cardiogenic shock ... #cardiology #treatment
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