47 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Failure, Valvular ... Disease, Mechanical ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
- Bibasilar Lung ... • Left-sided Valvular ... Disease • ... Sounds • Pulmonary ... Diagnosis #Algorithm #causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... leading to increased pulmonary ... vascular permeability ... consistent with pulmonary ... the underlying cause
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... body site (i.e., blood ... kidneys, liver, lung ... , erythematous macular ... STSS #treatment #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Severe Valve Disease ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... • Hypovolemic: Blood ... algorithm #treatment #management
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
a blockage in blood ... flow caused by ... Depends on the cause ... Pulmonary embolism ... disease. severe
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
in 24h Airway disease ... Kaposi's sarcoma • Rheumatologic ... Heart failure Vascular ... Differential #Diagnosis #pulmonary ... #causes
Hydroxychloroquine Serum Measurement in SLE
 • Terminal elimination half-life = 40 days ([HCQI reflects long-term intake)
[HCQI reflects long-term ... Insufficient blood ... Measurement #SLE #rheumatology ... #pharmacology # ... levels #lupus #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... valvular disease ... Endocarditis #diagnosis #management
Vascular Joint Pain - Differential Diagnosis Algorithm 
 - Constant Pain (Ischemia)
 - Acute Onset
 -
(Ischemia) - Acute ... Disease • Atherosclerosis ... e.g. fractured long ... compressing the blood ... #Orthopedics #Causes