12 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Determine type and etiology ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... management #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Decompensated CHF ... • Obstructive: Pulmonary ... Treatment Goals
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Lactate, Liver function ... Treat underlying etiology ... Revascularization, treatment ... #CHF #Shock #Cardiogenic
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Identifying the etiology ... essential to determine treatment ... 4 categories: cardiogenic ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... Shock. ... #diagnosis #differential ... #table #foamed ... #heartfailure #chf
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... Transfusion #Reactions #hematology ... diagnosis #comparison #table
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... < 20% Differential ... hepatitis • Pulmonary ... diagnosis #management #treatment ... #rheumatology
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
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Minority of Pts: cardiogenic ... shock and severe ... studies show no ↓ LV function
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