11 results
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... failure • Severe pulmonary ... agglutination - test ... microbiology #diagnosis #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... Revascularization, treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
10 minutes of rest ... cirrhosis • Intra-pulmonary ... scanning or pulmonary ... ) on room air Treatment ... diagnosis #management #treatment
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... oxygenator • Assess perfusion ... Basics #management #pulmonary ... #criticalcare
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Although pulmonary ... anti-GBM) Other tests ... LVEF, pericardial effusion ... diagnosis #management #treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... Liver function test ... pain-dose ketamine infusion ... Diagnosis #Management #CriticalCare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... & Dry) is the treatment ... & Dry” is the treatment ... heartfailure #chf #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- shock->treatments ... or diagnostic tests ... before beginning treatment ... Reduced tissue perfusion ... output - Acute pulmonary
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... • PULMONARY A ... response to the rapid infusion ... testing #diagnosis #criticalcare