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management treatment differential checklist fungal shock acidosis algorithm betadglucan biomarkers cardiology causes classification elevation endocarditis galactomannan hyperkalemia ia infectiousdiseases invasive
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
endocarditis w/ septic pulmonary ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
- Review of medication ... septic shock (e.g ... amount fluid, vasopressors ... resuscitation (e.g ... choledolithiasis (e.g
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare #
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
formulations (e.g ... beta-glucans (e.g ... non-neutropenic pts, SOT ... Galactomannan #diagnosis ... #comparison
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
(IA) - Diagnosis ... immunosuppression (eg ... allogeneic HSCT, SOT ... presentations: • Pulmonary ... #IA #Diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... Neurogenic >> Vasopressors ... Management #Summary #criticalcare
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... Valvular disease (e.g ... PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... Peak T, flat P, ST ... STOP offending medications ... concurrent need for vasopressor
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... administration, vasopressors ... output - Acute pulmonary ... - HIV/HAART medications
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