27 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... • Hypovolemic: Bleeding ... Nesiritide 3) Treat ... inopressors #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... thromboembolic disease, breast ... endometrial path0100' or breast ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... volume overload Urea ... into ammonium by urease-producing ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if pregnant or breast ... feeding! ... workup choices AND management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Presentation in septic shock ... SBP: Medical Management ... prophylaxis - Best ... acceptable Upper Gl bleeding
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying ... Urea powder • Induces ... into ammonium by urease-producing ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... Findings: • Bleeding ... dysfunction (16%) • Shock ... Treatment: • Treat ... causes #treatment #management
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
creatinine by at least ... Hypotension • Shock ... multiple myeloma) • Urate ... #KidneyInjury #Nephrology