27 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... edema - Large effusion ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology
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
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... 10 minutes of rest ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management ... #cardiology #treatment
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... Liver function test ... as for septic shock ... pain-dose ketamine infusion ... Pancreatitis #Checklist #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... anti-GBM) Other tests ... LVEF, pericardial effusion ... #differential #diagnosis ... #management #treatment
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... HF, Cardiogenic shock ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... - shock->treatments ... tests before beginning ... treatment. ... output - Acute pulmonary