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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
patients along the peri-shock ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Low #Abdomen # ... Hypovolemic #Distributive
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
patients along the peri-shock ... High or Think Low ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Trauma • GI ... Intractable vomiting Distributive ... obstruction to blood flow ... Classification #Table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
1.5 High CO / Low ... SVR: • Distributive ... Spinal Cord Injury Low ... Hypovolemic: Blood Loss, GI ... #criticalcare #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% • GI ... normal, can be low ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
skin pallor • GI ... total body stores Evaluation ... symptoms • P/E - GI ... pit, low retic ... by approx. lg per
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... based on the distribution ... require emergent evaluation ... Maculopapular #Rash #Algorithm
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
valsalva maneuver Per ... treatment for stable ... then have him blow ... #Instructions #Protocol
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... Stable patients ... Orthopedic • Low ... perioperative #Risk #Evaluation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... are excellent at evaluating ... augment forward flow ... #differential #algorithm ... cardiology #treatment #table