13 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Hemoptysis, Peripheral edema ... for Pulmonary Renal ... resolution chest CT ... #Renal #Syndrome
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
myalgias, HoTN, edema ... common • Imaging: CXR ... - pulmonary opacities ... Anaphylaxis, Acute Renal ... #APML #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... level <100 pg/ml EKG ... ischemic changes CXR ... respiratory distress syndrome ... #diagnosis #cardiology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... • Drugs • Pulmonary ... GI losses • Renal ... diuretics) With edema ... Uosm < 100 mmol/kg
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... • Drugs • Pulmonary ... GI losses • Renal ... diuretics) With edema ... Uosm < 100 mmol/kg
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
edema must be present ... be detected on CT ... or CXR ● PaO2/ ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Renal Syndromes ... Other tests: • CT ... #Renal #Syndromes ... #management #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Abdominal compartment syndrome ... ) UOP > 0.5 cc/kg ... #criticalcare # ... algorithm #treatment
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... hypertension (e.g ... - Pulmonary edema ... proteinuria, or chronic renal ... #Algorithm #CriticalCare
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... interventional radiology ... , hypotension, renal ... failure, pulmonary ... Oncology #HemeOnc #Diagnosis