Type Microbial etiology Type I Polymicrobial (most common) Type II Monomicrobial (streptococci, staphylococci, clostridia) Type III Vibrio vulnificus (associated with seawater exposure) Presentation Classic presentation NSTIs are notoriously difficult to…
Infection/sepsis Surgery Acute coronary syndrome/myocardial infarction Cerebral vascular accident Trauma (especially neck trauma) Medication noncompliance Thyroid hormone ingestion Iodine contrast Presentation The broad clinical picture is one suggestive of a…
Viral Bacterial Fungal Parasitic Radiation induced Drug induced Neoplastic Systemic inflammatory disease Myocardial infarction/Dressler syndrome (pericarditis) Traumatic (pericarditis) Metabolic (pericarditis) Peripartum (myocarditis) Myocarditis Myocarditis is an inflammatory disorder of the…
These statements must be true in order to consider tPA administration:1. Ischemic stroke onset within 3 hours, or in certain causes within 4.5 hours.2. Measurable deficit on NIH Stroke Scale…
0.3 mg/dL within 48 hours, or Increase in serum creatinine to 1.5 times baseline within the prior 7 days, or Urine volume <0.5 mL/kg/hour for 6 hours. There are three…
Figure 5.1. Components of oxygen delivery. CaO2, arterial oxygen content; PaO2, partial pressure of oxygen; SaO2, oxygen saturation; Hgb, hemoglobin. Endpoints of resuscitation Endpoints of resuscitation (EOR) are vital to…
Pneumocystis jirovecii pneumonia (PCP) Esophageal candidiasis Wasting syndrome Kaposi sarcoma Disseminated Mycobacterium avium infection Tuberculosis Cytomegalovirus (CMV) disease HIV-associated dementia Recurrent bacterial pneumonia Toxoplasmosis Immunoblastic lymphoma Chronic cryptosporidiosis Burkitt lymphoma…
8) following head trauma with either Significant mechanism of injury (fall from height, high speed MVC), or Significant physical examination findings (depressed skull fracture, facial trauma, scalp lacerations). Severe TBI…
Renal losses: diuretics, RTA, DKA, Bartter’s and Gittleman’s syndromes Gastrointestinal losses: diarrhea, emesis, gastric suction, laxative abuse, malabsorption Transcellular shift: alkalemia, insulin, beta-agonists/bronchodilators, catecholamines, Hyperaldosteronism Critical presentation Severe hypokalemia (<2.5…
Foreign bodies (button batteries) Caustic ingestions Trauma (blunt or penetrating) Violent emesis (Boerhaave syndrome) Valsalva (cough, heavy lifting, childbirth) Severe esophagitis Peptic esophageal ulcer Spontaneous Other iatrogenic causes (nasogastric tube…
