13 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... causing systemic hypertension ... , pulmonary hypertension ... ineffective) #Management ... #Diastolic #Treatment
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Treatment Goals ... criticalcare #algorithm #treatment ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... hypertension Rx ... 20 mg q6hr) - Hypotension ... Revascularization, treatment ... #Checklist #CHF
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Summary • Hypotension ... Tamponade - Pulmonary ... #Diagnosis #Management ... #criticalcare #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... initially include hypotension ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... albumin, trauma), Renal
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Infection/Sepsis/Shock ... Immunosuppressive agents, Renal ... epilepticus Treatment ... underlying cause • Treatment ... Syndrome #diagnosis #management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Agents Regulating Renal ... irrigation • Management ... Torsemide) • Acute pulmonary ... • Hypovolemic shock ... Tolvaptan) • Treatment
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
malaise • Septic shock ... : Hypotension, Purpura ... failure: CID, Renal ... infectiousdiseases #diagnosis #management ... #treatment
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... Anaphylaxis, Acute Renal ... APML #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
heart disease • Hypertensive ... cardiomyopathy • Pulmonary ... May have typical HF ... Pts: cardiogenic shock ... #cardiology #treatment