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6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
DP-PCWP Coronary Perfusion ... Tension PACO2 ... Tension PvCO2 ... Tension PECO2 ... Tension OXYGEN
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... explained by pleural effusions ... arterial oxygen tension ... - 200 mm Hg < PaO2 ... H2O #ARDS #Acute
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
pCO2 = 1.5 (HCO3 ... ТРСО2 → Тнсоз acute ... → ІнСО3 acute: ... > 50mmHg (acute ... 70 mmHg on 100% mask
Achilles Tendon Rupture - Pathogenesis and clinical findings
 • The Achilles tendon is 15cm long in
Achilles Tendon ... • The Achilles tendon ... the strongest tendon ... warriors") • Acute ... pathophysiology #msk
Evaluation of Suprapatellar Knee Effusion (normal knee) on Point of Care Ultrasound (POCUS)

POCUS for knee effusions:
Care Ultrasound (POCUS ... ) POCUS for knee ... effusions: remember ... distal quadriceps tendon ... Evaluation #Knee #MSK
Partial tear of subscapularis tendon on POCUS
The partial tear (hypoechoic) area is clearly seen in the
subscapularis tendon ... on POCUS The partial ... subscapularis tendon ... #POCUS #clinical ... #ultrasound #msk
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
ST elevation of acute ... thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS
Anterior Shoulder Dislocation: Pathogenesis, clinical, and radiographic findings

Trauma, Fall on, outstretched arm, Overhead throwing => Abduction
strength of muscle, tendon ... to glenoid -> Acute ... nerves, muscles, tendons ... signs #symptoms #msk
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Causes of Knee Effusions ... Framework Knee Effusion ... Infectious Knee Effusions ... Reactive Syndrome - Acute ... differential #diagnosis #msk
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... Compensation, Acute ... - Rapid saline infusion