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management syndrome acute berlin criteria definition differential distress evaluation pulmonary respiratory sepsis workup acidosis amiodarone anesthesia anesthesiology cd4 crisis endocarditis
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... 50% in nec fasc Diagnostic ... kidneys, liver, lung/ARDS ... day 2 + 3 BIDMC Infectious ... treatment #management #diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Syndrome (ARDS) ... be present on a chest ... severity of the ARDS ... Definition #Criteria #Diagnosis ... #CriticalCare
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... organism identified, Strep ... /- High res CT chest ... HIVAIDS #workup #diagnosis
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... TTE +/- TEE) • Chest ... for metastatic infection ... #criticalcare # ... diagnosis #management
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Increased O2 Demand: Stress ... Localized soft-tissue infection ... Metabolism • Other: - Infections ... #criticalcare #
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Evaluation - Chest ... if symptoms of infection ... Pyridostigmine - New diagnosis ... #Management #CriticalCare
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... cause) or septic shock ... proceed to the next steps ... Intraoperative #Checklist ... #Diagnosis #Management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Histoplasmosis Diagnosis ... Mucormycosis Diagnosis ... aches, joint pain, chest ... yeast • At risk: AIDS ... fever • Septic shock
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS) Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... Chest imaging ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... to determine if stress ... ACEi/ARBs - Hold ... change CV risk Chest ... stratification #diagnosis
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