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diagnosis algorithm differential treatment clinical pharmacology cardiology causes criticalcare gastroenterology table neurology peds nephrology checklist pediatrics video physicalexam pulmonary comparison
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Low CO / High SVR ... Abdominal compartment syndrome ... algorithm #treatment #management
Pressors and Inotropes Norepinephrine • alpha1 > beta 1 • Increase SVR > Inotropy Vasopressin • V1 •
1 • Increase SVR ... V1 • Increase SVR ... 1 • Increase SVR ... Inotropy > Increase SVR ... comparison #shock #management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... anaphylaxis, release syndrome ... toxins • ↑ CO, ↓ SVR
Algorithm for Suspected SVC Syndrome SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
Syndrome SVC ... syndrome suspected ... Syndrome Grading ... #Syndrome #Algorithm ... #diagnosis #management
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... subclavian steal syndrome ... > fast or slow SVR
Lead aVR on EKG Lead aVR can provide some unique insight into 5 different conditions: - Acute
Lead aVR on EKG ... Lead aVR can provide ... Differentiating VT from SVT ... EKG #ECG #Lead #AVR
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Increases BP, SVR ... Increases BP, SVR ... Increases HR, SVR ... Increases BP, SVR ... Pharmacology #Summary #management
Superior Vena Cava Syndrome on Physical Exam Prominent dilated collateral veins are seen bypassing the SVC obstruction #SVC
Superior Vena Cava Syndrome ... bypassing the SVC ... obstruction #SVC ... Superior #Vena #Cava #Syndrome
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 Inherited Colorectal Cancer (CRS) Syndromes Adenomatous Polyposis Syndromes: • Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH
Colorectal Cancer (CRS) Syndromes ... Adenomatous Polyposis Syndromes ... Urinary → Lynch Syndrome ... Peutz-Jeghers Syndrome ... #diagnosis #management
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
1500 d/s/cm5) (SVR ... -120 d/s/cm5) (PVR ... ml/beats/m2) (SVI ... [MAP – PCWP] x SVI ... mean PAp – CVP] x SVI
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