10 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 ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... #Diagnosis #Management ... #criticalcare #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... (no B-lines on ultrasound ... Revascularization, treatment ... #Checklist #CHF ... HeartFailure #Cardiology #Management
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... #algorithm #management ... #table #foamed ... #heartfailure #chf
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
MC: CNS CSF: • ... India ink prep CSF ... into the skin or subcutaneous ... fever • Septic shock ... #Management #Infections
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... Elevation, Timing, Treatment ... AMS #HACE #HAPE #Diagnosis ... #Management #Elevation ... #Comparison #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... May have typical HF ... Pts: cardiogenic shock ... Delivery • Stable ... #treatment
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Medications #Table