Anaphylaxis

Feb 17, 2017 by in CRITICAL CARE Comments Off on Anaphylaxis

Foods: nuts, shellfish, eggs, cow’s milk, soy, wheat Antibiotics: penicillin, cephalosporins, sulfonamides, nitrofurantoin, tetracycline Other therapeutics: methylparaben, rabies vaccine, egg-based vaccines Insect stings Latex Heterologous and human sera Local anesthetics…

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Pheochromocytoma

Feb 17, 2017 by in CRITICAL CARE Comments Off on Pheochromocytoma

Cardiovascular Hypertensive crisisAnginaMyocardial infarctionArrhythmiaMyocarditisCardiomyopathyHeart failureCardiogenic shockPeripheral ischemia Neurological Cerebrovascular accidentsEncephalopathyGeneralized seizures Pulmonary Pulmonary edemaAcute respiratory distress syndrome Renal Acute renal failure Abdominal Hemorrhage into the tumorParalytic ileusIntestinal ischemiaColon perforation Diagnosis…

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Adrenal crisis

Feb 17, 2017 by in CRITICAL CARE Comments Off on Adrenal crisis

Chronic steroid use HIV/AIDS Tuberculosis Autoimmune adrenalitis Congenital (congenital adrenal hyperplasia, adrenoleukodystrophy) Infiltrative (sarcoidosis, hemochromatosis, amyloidosis) Cancer Surgery/irradiation Hepatic failure Pancreatitis Table 61.2. Etiologies of acute adrenal insufficiency Drugs (steroids,…

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Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Feb 17, 2017 by in CRITICAL CARE Comments Off on Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Sepsis Urinary tract infection Pneumonia Myocardial infarction Stroke Gastrointestinal bleeding Medication noncompliance Newly diagnosed diabetes Presentation Classic presentation Classic symptoms of hyperglycemia including polyuria, polydipsia, polyphagia, dizziness, and weakness. Abdominal…

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Pulmonary embolism

Feb 17, 2017 by in CRITICAL CARE Comments Off on Pulmonary embolism

Age >40 yearsHistory of venous thromboembolismProlonged immobilization, including long air or ground travelCancerTrauma or major surgeryObesityPregnancyHormonal contraceptives or hormonal replacement therapyAcute illness or inflammatory diseases (such as inflammatory bowel disease)Genetic…

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Pneumonia

Feb 17, 2017 by in CRITICAL CARE Comments Off on Pneumonia

Chest radiographic finding Suggested organism Lobar consolidation S. pneumoniae, Klebsiella pneumoniae Patchy infiltrates Atypical and fungal organisms Interstitial pattern Mycoplasma or viral organisms Miliary pattern Tuberculosis or fungal organisms Apical…

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Neutropenic fever

Feb 17, 2017 by in CRITICAL CARE Comments Off on Neutropenic fever

Chemotherapy Radiation therapy to the bone marrow Genetic mutations Transient infections Autoimmune Drug induced Nutritional deficiency Marrow infiltration and destruction Reticuloendothelial sequestration Presentation Classic presentation Without adequate neutrophils, patients can…

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Monitoring

Feb 17, 2017 by in CRITICAL CARE Comments Off on Monitoring

3-Lead or 5-lead ECG system Heart rate Blood pressure Mean arterial pressure Respiratory rate Oxygen saturation Temperature Three electrodes (white, black, and red) are used in 3-lead ECG systems, allowing…

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Abdominal aortic aneurysms

Feb 17, 2017 by in CRITICAL CARE Comments Off on Abdominal aortic aneurysms

AAA diameter (cm) 5-year risk of rupture (%/year) <4.0 cm 0% 4.0–4.9 cm 0.5–5% 5.0–5.9 cm 3–15% 6.0–6.9 cm 10–20% 7.0–7.9 cm 20–40% 8.0 cm 30–50% Table 36.2. Risk factors…

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Reversal of anticoagulation

Feb 17, 2017 by in CRITICAL CARE Comments Off on Reversal of anticoagulation

Warfarin Inhibits the synthesis of vitamin K-dependent coagulation factors (II, VII, IX, X) and proteins C and S Heparin Activates antithrombin III, leading to inactivation of thrombin and other coagulation…

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