8 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Diagnosis Algorithm ... - rule out non-ICU ... vs ICU causes ... Hyperbilirubinemia #direct ... #Diagnosis #Algorithm
Video Laryngoscopy vs Direct Laryngoscopy on Successful First-Pass Orotracheal Intubation Among ICU Patients

JAMA. 2017;317(5):483-493 https://jamanetwork.com/journals/jama/fullarticle/2598718

Conclusions: Among
Laryngoscopy vs Direct ... Intubation Among ICU ... patients in the ICU ... compared with direct ... FirstPass #Success #EBM
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Ultrasound for Diagnosing ... the diaphragm #Diagnosis ... #Peds #EM #PICU
More recently, Anvari 2015 analyzed abdominal pressures among 53 patients admitted to a medical ICU with
admitted to a medical ICU ... #EBM #Diagnosis
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
(COVID19, CMV/EBV ... Illness Myopathy (ICU ... #Elevated #CK #differential ... #diagnosis #rhabdomyolysis
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Auto-amplification loop Diagnosis ... Infections+++: Virus (EBV ... biologics (CMV +++, EBV ... of emergency, ICU ... Lymphohistiocytosis #diagnosis
Idiopathic CD4 Lymphopenia (ICL) / Lymphocytopenia 

DIAGNOSTIC CRITERIA FOR ICL
 • Persistent CD4 T-cell lymphopenia
 •
CD4 Lymphopenia (ICL ... CRITERIA FOR ICL ... EBV. CMV. ... #Lymphopenia #ICL ... #Differential #
Cullen's sign. Lipase 1,781. Bruising in the skin around the umbilicus. This sign is named after
Diagnosis and Context ... Cullen's sign is not diagnostic ... important in the diagnostic ... #cullensign #em ... peritonitis #IM #FM #ICU