12 results
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... ), RV Failure (PE ... Toxins (CCB, BB, BRASH ... Obstruction (HOCM, critical ... Failure, Endocrine (adrenal
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
rigors, diarrhea, nausea ... in multipressor shock ... Your blood cxs identify ... Final dx: Septic shock ... #clinical #photo
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... acid lipase is critical ... and gut, which causes ... #clincial #peds ... #infant #NEJM #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... anaphylaxis, toxins/meds ... O2 delivery • PE ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) • Renal ... anaphylaxis, toxins/meds ... O2 delivery • PE ... #differential #causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
removal from the blood ... of lactate as a clinical ... undifferentiated shock ... a multitude of clinical ... the appropriate clinical
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Pathogenesis and Clinical ... enzyme 21-OHase causes ... 21-OHD in the adrenal ... vomiting • Late (shock ... endocrinology #peds
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... PRES-Associated Clinical ... Infection/Sepsis/Shock ... elevated white blood ... the underlying cause
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
ABO incompatible blood ... organ damage Clinical ... Bleeding (64%) • Renal ... dysfunction (16%) • Shock ... Treat primary cause
Capnocytophaga
GNR with long fusiform shape.  Fastidious facultative anaerobe that grows slowly and needs enriched agar
C.
= most common cause ... cats) Classic clinical ... scenario: septic shock ... with fever, rash ... , hypotension, renal