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COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
in the ICU, now ... #Cheatsheet #Diagnosis ... #Management #Summary ... #Coronavirus #CriticalCare ... : Marino's The ICU
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... (PICS) Symptoms ... guide targeted treatments ... #PICS #diagnosis ... #management #criticalcare
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Syndrome Identify ... serotoninergic meds ... then 2 mg q2h if symptoms ... continue UCSD ... #Management #treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment ... #management
Statin Induced Muscle Toxicity - Summary

Clinical Presentation:
 • Elevations of serum creatine kinase with proximal myalgia
any time during treatment ... Guillain-Barré syndrome ... Atorvastatin Diagnosis ... toxicity #myopathy #diagnosis ... #management #treatment
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
of respiratory symptoms ... asthma-COPD overlap; ICS ... #Diagnosis #Management ... #Differences #Algorithm ... #Treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... : >3 symptoms, or ... organ dysfuxtion, ICU ... #management #hematology
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
-19 The diagnosis ... and treatment of ... #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
myasthenia Diagnosis ... : - Bedside: ice ... immunosuppressants - Meds ... Myasthenia #Gravis #diagnosis ... #management #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Neurological symptoms ... epilepticus Treatment ... underlying cause • Treatment ... Seizures: Treat with AEDs ... #diagnosis #management