35 results
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... there is no clear cause ... the underlying cause ... days after dx of ARDS
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... Acetazolamide Causes ... MDaniyalHashmi1 #AcidBase
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
barns and lake houses ... Febrile illness + ARDS ... chills, myalgias, nausea ... • Autopsy PCR Treatment ... diagnosis #management #treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfusion • Criteria: ARDS ... without other cause ... of ARDS to explain ... : 33% • Treatment ... : No • Treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... pulmonary disease ARDS ... microbiology #diagnosis #treatment
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... kidneys, liver, lung/ARDS ... necrosis STSS Treatment ... Syndrome #STSS #treatment
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
unresponsive to treatment ... without discernable cause ... Medications (NSAlDs, ARBs
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
lidocaine, +/- pre-treatment ... ICP Physiology: CO2 ... : • Low CO2 = ... CPP) • High CO2 ... = dilated BV = raises
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... • Orthopnea - PaO2 ... Oxygenation defect - PaO2 ... ) on room air Treatment ... diagnosis #management #treatment