1997 results
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Trauma - Acute/severe ... of infection (fever ... #Workup #MICU #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Septic Shock, Severe ... Cardiac Arrest, Severe ... Pain / Exercise, Fever ... Differential #Diagnosis #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
or persistent fevers ... patients with severe ... Treatment #MICU #CriticalCare
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Intermittent Fever ... or no fever
Faget Sign - Pulse-Temperature Dissociation
Causes of Relative Bradycardia
 • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Psittacosis • Q Fever ... • Typhoid Fever ... • Drug Fever ... Typhoid Fever (S ... Dengue Fever NOTE
Causes of Relative Bradycardia - Note the propensity for intracellular organisms.
Infectious: 
Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Pediatric Severe Sepsis Algorithm 

(For children >28 days of age)

#Sepsis #Severe #Algorithm #Peds #Pediatrics #CriticalCare #Management
Pediatric Severe ... age) #Sepsis #Severe ... Peds #Pediatrics #CriticalCare
Ever had a #traveler come in to your clinic with #fever and you were not sure
Ever had a #traveler ... your clinic with #fever ... infectiousdisease #fever
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
management of several ... severe fungal infections ... : Severe cryptococcal ... and meningitis, severe ... - Virtually never