11 results
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
- Elevated Troponin ... Diagnosis and Workup ... Metabolic (ie acidosis ... Distribution: Acute ... #Elevated #Troponin
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
algorithm for the workup ... The diagnostic workup ... into those with elevated ... sensitivity for correct classification ... Hypercalcemia #Workup
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... - Classification ... prostatic hypertrophy (BPH ... #Kidney #Injury ... #Classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... decompensated chronic PH ... - Myocarditis, postpartum ... cardiomyopathy Acute ... CM #Shock #Classification
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
are they more acidotic ... adding ~0.05 to pH ... the chronicity (acute ... , chronic, or acute ... Disorders #Evaluation #workup
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
anion-gap metabolic acidosis ... 5) History of acute ... , Tachycardia, Elevated ... Anion-Gap Metabolic Acidosis ... Resuscitation 2) Urine pH
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Elevated Lactate ... hemolytic anemia, PNH ... : • Early acute ... hepatitis • Acute ... Hepatocellular Injury
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... cardiac output - Acute ... peritonitis - Acute ... gluconeogenesis Liver Injury ... #typea #typeb #classification
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (often w/ acute ... on chronic resp acidosis ... COPD) • Other acute ... status • Won't Work ... pneumothorax. esophageal injury
#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
HCO3d-HCO3m) Metabolic Acidosis ... 9 Respiratory Acidosis ... ТРСО2 → Тнсоз acute ... Protection, Inhalation injury ... or spinal cord injury