47 results
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... urinalysis, labs - Management ... Diuretics if heart failure ... renal biopsy - Management ... Acute #Kidney #Injury
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... insufficiency/Failure ... differential #diagnosis #causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
inflammatory lung injury ... overload with heart failure ... there is no clear cause ... the underlying cause ... #CriticalCare
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... insufficiency/Failure ... differential #diagnosis #causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... , rhabdo/crush injury ... - Renal Failure ... only if no clear cause ... Definitive in ESRD or failure
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
biventeicular failure ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... Medications, Spinal Cord Injury ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
 -
caustic mucosal injury ... Abdominal pain, nausea ... Progressive multi-organ failure ... coagulopathy, renal failure ... Toxicology #Diagnosis #Management
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
evaluate her JVP (video ... Causes = RV failure ... pericarditis (this case ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... - Severe renal failure ... route = severe hypokalemia ... /hr for severe hypokalemia ... #Management #CriticalCare