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diagnosis clinical pocus treatment shock ultrasound ascites differential hepatology icu spontaneous algorithm bacterial causes checklist classification comparison dilated gastric peritonitis
ARDS - Overview M. Daniyal Hashmi, MD @MDaniyalHashmi1 #ARDS #Respiratory #Distress #Acute #Syndrome #Diagnosis #Management #CriticalCare #summary
ARDS - Overview ... Syndrome #Diagnosis #Management ... #CriticalCare # ... summary
Complex (NOT simple) ascites on Abdominal POCUS (very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... clinical #ultrasound #SBP
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 Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Spontaneous Bacterial Peritonitis Clinical • Fever • Chills • Abdominal pain Diagnosis
• Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Summary • Hypotension ... : SBP<90, SBP drop ... Mental Status (SBP ... #Summary #criticalcare
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Bacterial Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
Extubation Checklist Mnemonic - MASCOTS M - Mechanism (Underlying mechanism improving) A - Airway (Patent, difficult intubation) S -
interruption) S - SAT/SBT ... off, passes SAT/SBT ... Mnemonic #MASCOTS #criticalcare ... #management
Aortic Dissection - Diagnosis and Management Summary • HPI: sudden onset, "tearing" chest pain, radiation to
Diagnosis and Management ... Summary • HPI ... Type B = medical management ... ) - goal SBP ... #summary #treatment
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Ascites - Diagnosis and Management Summary Paracentesis studies: cell count + differential, albumin, protein, culture • Serum-ascites-albumin-gradient
Diagnosis and Management ... Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... #Summary #Hepatology
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