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The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
this post will focus ... K+ in the ECF causes ... Hyperkalemia, a ... with an increased risk ... management #diagnosis #treatment
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Cardiac: multiple case ... incr in 27-75% • PCT ... % if severe or ICU ... 7-28% -> Incr risk ... Guide #Diagnosis #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ADLs - Highest metabolic ... event, follow ACC algorithm ... Change in clinical ... Orthopedic • Low ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
patient causing hypovolemia ... the determined cause ... #differential #algorithm ... #management #cardiology ... #criticalcare #icu
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
impairment of cellular metabolism ... sweat) - its metabolism ... before beginning treatment ... - Shock - Hypovolemia ... LV failure - Low
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
Temperature rise ... ❹ Call for MH treatment ... possible fresh gas flow ... • Ice packing ... amiodarone/metoprolol Metabolic
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Clinical • Under-recognized ... Avoid ARBs • ICD ... diagnosis #management #cardiology ... #treatment
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Nausea & vomiting ... Standard treatment ... have a higher risk ... T2 #MRI #Brain #clinical ... #radiology