12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... • Obstructive: Pulmonary ... Treatment Goals ... #criticalcare #algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: Age>60, CKD, CHF ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... ventilated • CXR ... of AECOPD: • Clinical ... #Exacerbation #treatment ... #pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management ... #table #foamed ... #heartfailure #chf
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... Blood cultures • CXR ... early disease) • CXR ... shows a small, stable ... Lung #Abscess #pulmonary
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... MC: CNS CSF: • ... India ink prep CSF ... fever • Septic shock
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... Edema (HAPE) Clinical ... Elevation, Timing, Treatment ... AMS #HACE #HAPE #Diagnosis ... #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... May have typical HF ... Pts: cardiogenic shock ... management #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... stratification #diagnosis