14 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Determine type and etiology ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... address underlying etiology ... management #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... Treatment Goals ... #Differential #
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... Lactate, Liver function ... Treat underlying etiology ... Revascularization, treatment ... #Checklist #CHF
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... Pneumonia • CHF ... effusion/Tamponade Hematologic ... • Hypovolemic shock ... Tachypnea #Hyperpnea #Differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Identifying the etiology ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... Transfusion #Reactions #hematology ... diagnosis #comparison #table
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Imaging: CXR- pulmonary ... initiation • Differential ... sepsis), PE, DAH, CHF ... diagnosis #management #hematology ... #oncology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... Tests of synthetic function
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
decreased glycosylated fraction ... < 20% Differential ... hepatitis • Pulmonary ... diagnosis #management #treatment ... #rheumatology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... #diagnosis #differential ... #table #foamed ... #heartfailure #chf