18 results
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
50% in nec fasc Diagnostic ... kidneys, liver, lung/ARDS ... Treatment Strategy ... day 2 + 3 BIDMC Infectious ... #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
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... realize that in ARDS ... pathophysiology #diagnosis ... #foamed #criticalcare ... #treatment #respiratory
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
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 #
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... deficit • Shock ... Treatment - ED ... reduce aortic wall stress ... Aortic #Dissection #diagnosis
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... host response to infection ... SEPTIC SHOCK is ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Histoplasmosis Diagnosis ... Histoplasmosis Treatment ... aches, joint pain, chest ... yeast • At risk: AIDS ... fever • Septic shock
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
Wuhan Virus") • Infection ... emergency 2020-3-12 Diagnosis ... COVID19 #Cheatsheet #Diagnosis ... Management #Summary #SARSCoV2 ... #Coronavirus #CriticalCare
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... hemorrhage • Treatment ... several months of treatment ... Aeruginosa - Strep