Massachusetts General Hospital Review of Critical Care Medicine

SECTION 1. Shock

1.1 Septic Shock

1.2 Hypovolemic Shock

1.3 Cardiogenic Shock

1.4 Anaphylactic Shock

SECTION 2. Cardiology

2.1 Coronary Artery Disease

2.2 Rhythm Disturbances

2.3 Valvular Disorders

2.4 Pericardial Disorders

2.5 Myocardial Disorders

2.6 Congenital Heart Disease in Adults

2.7 Noncardiogenic Pulmonary Edema versus Cardiogenic Pulmonary Edema

2.8 Cardiac Arrest and Resuscitation

2.9 Hypertension

2.10 Aneurysms and Dissections

2.11 Implantable Cardiac Devices

2.12 Monitoring

2.13 Pharmacologic Therapies for Cardiac Disorders

SECTION 3. Pulmonary

3.1 Pulmonary Mechanics

3.2 Respiratory Failure, Mechanical Ventilation, and Weaning

3.3 Acute Respiratory Distress Syndrome and Acute Lung Injury

3.4 Ventilator-Induced Lung Injury and Ventilator-Associated Lung Injury

3.5 Pulmonary Embolism

3.6 Pulmonary Hypertension

3.7 Reactive Airway Disease (Asthma)

3.8 Chronic Obstructive Pulmonary Disease (COPD)

3.9 Restrictive Airway Diseases

3.10 Aspiration Syndromes

3.11 Pneumonia

3.12 Tracheobronchitis

Preface

3.13 Pulmonary Contusion

3.14 Flail Chest

3.15 Sleep-Related Breathing Disorders

3.16 Pharmacologic Therapies for Pulmonary Disorders

SECTION 4. Gastrointestinal

4.1 Abdominal Compartment Syndrome

4.2 Acute Pancreatitis

4.3 Gastrointestinal Perforation

4.4 Acute Mesenteric Ischemia

4.5 Gastrointestinal Bleeding

4.6 Malabsorption in the Critically Ill Patient

4.7 Ileus and Acute Colonic Pseudoobstruction (Ogilvie Syndrome)

4.8 Clostridium difficile and Toxic Megacolon

4.9 Inflammatory Bowel Disease

4.10 Vascular Diseases of Small Bowel

4.11 Obesity

4.12 Pharmacologic Therapies for Gastrointestinal Disorders

SECTION 5. Renal

5.1 Acute Kidney Injury (AKI)

5.2 Infections of the Urinary Tract

5.3 Acid-Base Physiology and Disorders

5.4 Renal Replacement Therapy

5.5 Pharmacologic Therapies for Renal Disorders

SECTION 6. Hepatic

6.1 Hepatic Dysfunction and Hyperbilirubinemia

6.2 Hepatic Encephalopathy

6.3 Hepatorenal Syndrome

SECTION 7. Hemacology/Oncology

7.1 Anemia

7.2 Thrombocytopenia

7.3 Thrombocytosis

7.4 Neutropenia

7.5 Hemoglobinopathies

7.6 Bone Marrow and Stem Cell Transplants

7.7 Tumor Lysis Syndrome

7.8 Coagulopathy

7.9 Disseminated Intravascular Coagulopathy

SECTION 8. Endocrine

8.1 General Neuroendocrine Axis

8.2 Diabetes Mellitus

8.3 Adrenal Gland

8.4 Pituitary Hormone Disorders

8.5 Thyroid Disorders

8.6 Pharmacologic Therapies for Endocrine Disorders

SECTION 9. Neurology

9.1 Altered Mental Status

9.2 Status Epilepticus

9.3 Depressive Disorders

9.4 Central Nervous System Infections

9.5 Traumatic Brain Injury and Intracranial Hypertension

9.6 Spinal Cord Injury

9.7 Ischemic Stroke

9.8 Hemorrhagic Stroke

9.9 Subarachnoid Hemorrhage

9.10 Vascular Malformations

9.11 Cerebral Venous Thrombosis

9.12 Demyelinating Syndromes and Prion Disease

9.13 Neuromuscular Disorders

9.14 Brain Death

9.15 Therapeutic Hypothermia

9.16 Pharmacologic Therapies for Neurologic Disorders

SECTION 10. Infectious Disease

10.1 Infectious Diseases

10.2 Infectious Disease and Antibiotic Therapy

SECTION 11. Immunology

11.1 The Immune System

SECTION 12. Dermatology

12.1 Dermatologic Conditions

SECTION 13. Thermoregulation

13.1 Malignant Hyperthermia

13.2 Neuroleptic Malignant Syndrome

13.3 Heat Stroke

13.4 Hypothermia

SECTION 14. Obstetrics

14.1 Pre-eclampsia/Eclampsia and HELLP Syndrome

14.2 Acute Fatty Liver of Pregnancy

14.3 Amniotic Fluid Embolism

14.4 Postpartum Hemorrhage

SECTION 15. Fluids and Electrolytes

15.1 Fluids and Electrolytes

15.2 Sodium Balance

15.3 Potassium Balance

15.4 Calcium, Magnesium, and Phosphorous Balance

SECTION 16. Nutrition

16.1 Basal and Stress Energy Requirements

16.2 Stress Hormone Response

16.3 Nutritional Deficiency States

16.4 Nutrition Support

16.5 Refeeding Syndrome

SECTION 17. Pharmacokinetics and Pharmacodynamics of Drugs

17.1 Basic Pharmacokinetics and Pharmacodynamics

SECTION 18. Transfusion Therapy

18.1 Transfusion Therapy

SECTION 19. Transplants

19.1 Transplants: Lung, Heart, Liver, and Other Organs

SECTION 20. Trauma Management

20.1 Fluid Resuscitation/Transfusion Guidelines

20.2 Basic Management

20.3 FAST: Focused Assessment with Sonography

20.4 Complications

SECTION 21. Pediatric Emergencies

21.1 Airway and Pulmonary Emergencies

21.2 Surgical Emergencies

21.3 Cardiovascular Emergencies

SECTION 22. Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS)

22.1 ACLS and ATLS Guidelines

SECTION 23. Point-of-Care Ultrasound in the ICU

23.1 Point-of-Care Ultrasound in the ICU

SECTION 24. Burns

24.1 Burns

SECTION 25. Exposures

25.1 Nuclear, Radiologic, Chemical, and Biologic Exposures

SECTION 26. Drowning

26.1 Drowning

SECTION 27. Procedures

27.1 Tracheostomy

27.2 Cricothyroidotomy

27.3 Bronchoscopy

27.4 Tube Thoracostomy (Chest Tube)

27.5 Thoracentesis, Paracentesis, and Pericardiocentesis

27.6 Feeding Tube Placement

SECTION 28. ICU Transport

28.1 ICU Transport

SECTION 29. Epidemiology and Biostatistics

29.1 Epidemiology and Biostatistics

SECTION 30. Infection Control

30.1 Infection Control

SECTION 31. ICU Administration

31.1 ICU Administration

SECTION 32. Ethics and Palliative Medicine

32.1 Ethics and Palliative Medicine

SECTION 33. Emergent Airway Management

33.1 Emergent Airway Management

SECTION 34. Preoperative Evaluation for Surgery

34.1 Preoperative Assessment

QUESTIONS

SECTION 1. SHOCK

SECTION 2. CARDIOLOGY

SECTION 3. PULMONARY

SECTION 4. GASTROINTESTINAL

SECTION 5. RENAL

SECTION 6. HEPATIC

SECTION 7. HEMACOLOGY/ONCOLOGY

SECTION 8. ENDOCRINE

SECTION 9. NEUROLOGY

SECTION 10. INFECTIOUS DISEASE

SECTION 11. IMMUNOLOGY

SECTION 12. DERMATOLOGY

SECTION 13. THERMOREGULATION

SECTION 14. OBSTETRICS

SECTION 15. FLUIDS AND ELECTROLYTES

SECTION 16. NUTRITION

SECTION 17. PHARMACOKINETICS AND PHARMACODYNAMICS OF DRUGS

SECTION 18. TRANSFUSION THERAPY

SECTION 19. TRANSPLANTS

SECTION 20. TRAUMA MANAGEMENT

SECTION 21. PEDIATRIC EMERGENCIES

SECTION 22. ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND ADVANCED TRAUMA LIFE SUPPORT (ATLS)

SECTION 23. POINT-OF-CARE ULTRASOUND IN THE ICU

SECTION 24. BURNS

SECTION 25. EXPOSURES

SECTION 26. DROWNING

SECTION 27. PROCEDURES

SECTION 28. ICU TRANSPORT

SECTION 29. EPIDEMIOLOGY AND BIOSTATISTICS

SECTION 30. INFECTION CONTROL

SECTION 31. ICU ADMINISTRATION

SECTION 32. ETHICS AND PALLIATIVE MEDICINE

SECTION 33. EMERGENT AIRWAY MANAGEMENT

SECTION 34. PREOPERATIVE EVALUATION FOR SURGERY

ANSWERS

SECTION 1. SHOCK

SECTION 2. CARDIOLOGY

SECTION 3. PULMONARY

SECTION 4. GASTROINTESTINAL

SECTION 5. RENAL

SECTION 6. HEPATIC

SECTION 7. HEMACOLOGY/ONCOLOGY

SECTION 8. ENDOCRINE

SECTION 9. NEUROLOGY

SECTION 10. INFECTIOUS DISEASE

SECTION 11. IMMUNOLOGY

SECTION 12. DERMATOLOGY

SECTION 13. THERMOREGULATION

SECTION 14. OBSTETRICS

SECTION 15. FLUIDS AND ELECTROLYTES

SECTION 16. NUTRITION

SECTION 17. PHARMACOKINETICS AND PHARMACODYNAMICS OF DRUGS

SECTION 18. TRANSFUSION THERAPY

SECTION 19. TRANSPLANTS

SECTION 20. TRAUMA MANAGEMENT

SECTION 21. PEDIATRIC EMERGENCIES

SECTION 22. ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND ADVANCED TRAUMA LIFE SUPPORT (ATLS)

SECTION 23. POINT-OF-CARE ULTRASOUND IN THE ICU

SECTION 24. BURNS

SECTION 25. EXPOSURES

SECTION 26. DROWNING

SECTION 27. PROCEDURES

SECTION 28. ICU TRANSPORT

SECTION 29. EPIDEMIOLOGY AND BIOSTATISTICS

SECTION 30. INFECTION CONTROL

SECTION 31. ICU ADMINISTRATION

SECTION 32. ETHICS AND PALLIATIVE MEDICINE

SECTION 33. EMERGENT AIRWAY MANAGEMENT

SECTION 34. PREOPERATIVE EVALUATION FOR SURGERY