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diagnosis differential management clinical causes neurology treatment ultrasound algorithm cardiology foamed pain shock abdominal acute ards caudaequina centralline distress echocardiogram
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Respiratory Distress Syndrome ... known insult • Imaging ... Distress #Acute #Syndrome ... Diagnosis #Management #CriticalCare
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
paresthesias • Imaging ... dysfunction • Imaging ... Reconstitution Inflammatory Syndrome ... 4 weeks after starting ... stroke Tuberculous Abscess
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
(MS), Epidural abscess ... Guillain-Barre syndrome ... Lambert Eaton Syndrome ... poisoning, Scorpion sting
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Cauda Equina Syndrome ... • Infection (abscess ... pain (shooting, stabbing ... #CaudaEquina #Syndrome
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Abdominal compartment syndrome ... Losses, Third Spacing ... Differential #Diagnosis #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
severe burns, third-spacing ... anaphylaxis, release syndrome ... table #comparison #criticalcare
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... Cauda Equina Syndrome ... - Cauda equina syndrome ... Spinal infection/abscess ... studies (PVR) Imaging
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
• Acute stroke syndromes ... Infectious: Brain abscess ... Paraneoplastic syndrome ... Lambert-Eaton - Isaacs' syndrome ... toxins: Steroids, Statins
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... cytokine release syndrome ... stroke, etc), Third-Spacing ... guyton #curves #criticalcare
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Long-standing vs ... • Budd-Chiari syndrome ... • Splenomegaly/Abscess ... Irritable bowel syndrome ... artery compression syndrome
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