20 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP • Exam: ↓ JVP ... syndrome, infusion reactions ... #Differential #Diagnosis ... table #comparison #criticalcare
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
antigens (often false negative ... (rare), false negatives ... infographic by Nick ... #Transfusion #diagnosis ... #management #hematology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
antigens (often false negative ... (rare), false negatives ... in 650,000 by Nick ... #Transfusions #diagnosis ... #management #hematology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
- Achieving a Negative ... Advantages Of A Negative ... REMOVE UNECCESARY MEDS ... - Nick Mark ... Balance #management #criticalcare
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
- Transfusion Reactions ... elevated BNP, high CVP ... #Transfusion #Reactions ... #hematology #diagnosis
THROMBOELASTOGRAPHY (TEG)
General Principle
• A small cuvette is rotated to simulate sluggish venous flow and stimulate clot
numbers • R - reaction ... development Nick ... Thromboelastography #Diagnosis ... #Management #CriticalCare ... #Hematology #Interpretation
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
aorta • Head and neck-limited ... Systemic (head and neck ... PET-CT Imaging (→ Diagnostic ... • Some false negative ... workup #treatment #rheumatology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... - Distended neck ... crackles, elevated JVP ... Jonesy_MA #Shock #Diagnosis ... Management #Summary #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... acidosis with negative ... Difficult to diagnosis ... infographic by Nick ... #criticalcare #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... auscultation, JVD ... establishing a diagnosis ... have achieved negative ... heartfailure #chf #criticalcare