9 results
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... AMS is just a symptom ... Workup 5) Treat ... the underlying cause ... #Management #criticalcare
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... nephrolithiasis • Symptoms ... Nephrology if cause ... #Algorithm #Workup
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... dehydration due to renal ... findings based on cause ... #table #comparison ... #criticalcare
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
13 Dangerous Causes ... at home or at work ... shoulder girdle symptoms ... encephalopathy: altered ... postpartum #Diagnosis
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
Constitutional symptoms ... Discontinuation of causal ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... intravenous drug use, Central ... in up to 30% of cases ... #Endocarditis #comparison ... #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
extremities, fatigue, altered ... mental status and ... the determined cause ... #algorithm #management ... cardiology #treatment #table
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... Treat underlying cause ... post-infusion) - ICANS: altered ... Oncology #HemeOnc #Diagnosis
Hyperthermic Toxidromes
Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures.
 • Sympathomimetic -
rhabdomyolysis, altered ... mental status/seizures ... pharmacogenetic disease caused ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis