20 results
Kussmaul's Sign on Physical Exam

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

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Kussmaul's Sign ... biventeicular failure ... and other rarer causes ... #Sign #physicalexam ... #clinical #video
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal

PRE-RENAL 
Impaired perfusion: 
•
Causes of Acute ... Kidney Injury ( ... perfusion: • Cardiac failure ... #Kidney #Injury ... Prerenal #Postrenal #Failure
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... evaluate her JVP (video ... Causes = RV failure ... #Sign #PhysicalExam ... #Video #Clinical
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... Kidney Failure ... Infections Alcohol-Associated ... Drug-Induced Liver Injury ... EmoryGastroHep #ACLF #Acute
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... Dehydration • Heart failure ... syndrome) • Liver failure ... tubular necrosis (causes ... #Kidney #Injury
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Common causes of ... Acute Kidney Injury ... HEMODYNAMIC • Cardiac failure ... Tubular Injury/ ... NephroP #AKI #causes
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... Diuretics if heart failure ... treating underlying cause ... appropriate) #Acute ... #Kidney #Injury
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Failure ( ... ALT Ratios: • Alcoholic ... cardiac muscle, RBC, Kidney ... Cardiac muscle, Kidneys ... trimester placenta, kidneys
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 ... Diagnosis #Management #CriticalCare
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
mm is needed to cause ... , such as: - Acute ... kidney injury ( ... chronic renal failure ... Diagnosis #Algorithm #CriticalCare