18 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
, DIC, TMA • Cardiac ... hepatitis • Pulmonary ... : pleural effusion ... #diagnosis #management ... #treatment #rheumatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
left heart 3-6 cardiac ... cirrhosis • Intra-pulmonary ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... (UPC) ratio • Cardiac ... LVEF, pericardial effusion ... #management #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... , Severe Valve Disease ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... #management
Chagas Disease (American trypanosomiasis) - Diagnosis and Management Summary
Acute Chagas Disease (8-12 weeks):
 • Mild: Malaise,
and Management ... myocarditis, pericardial effusion ... • Treatment: ... clinical evidence of cardiac ... #Management #Microbiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
• Aortic valve disease ... • Cardiac surgery ... deficit • Shock Treatment ... Control pain: i.v. opiates ... #management #vascular
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Tamponade - Pulmonary ... Cardiac surgery? ... #criticalcare #treatment
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
regurgitation) Diagnosis ... • Ventilation-perfusion ... Bypass Other Treatment ... have inoperable disease ... #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... with presence of pulmonary ... & Dry) is the treatment ... Cardiac cath if ... #algorithm #management