44 results
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... Treatment Strategy ... #Syndrome #STSS ... #treatment #management ... #diagnosis
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Acute Respiratory Distress ... Syndrome • ... another process • Origin ... #Acute #Syndrome ... #Diagnosis #Management
Comparison - Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Catatonia

- BWH Medicine Chiefs @BrighamChiefs

#Serotonin #Syndrome #Neuroleptic
Comparison - Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... #Serotonin #Syndrome ... #management #treatment ... #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... SBP > 40 - End-organ ... Abdominal compartment syndrome ... Treatment Goals ... #management
Acquired von Willebrand Syndrome - Diagnosis and Management
 • Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
von Willebrand Syndrome ... disorders • Shear stress-induced ... vonWillebrand #Syndrome ... #Diagnosis #Management ... #treatment #hematology
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
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress ... acute coronary syndrome ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... blockade S - Shock ... • Aggressive treatment ... DrEricStrong #BRASH #Syndrome ... #diagnosis #management
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... • Emotional stress ... Subclavian steal syndrome ... Classification #Table
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Ischemia, Compartment Syndrome ... Increased O2 Demand: Stress ... in Short Bowel Syndrome ... Excerpted from original