56 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... ultrasound #Cardiology #A4c
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial effusion ... Signs: Normal cardiac ... characterized by low cardiac
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Inadequate tissue perfusion ... Distributive Shock ... Hypovolemic Shock ... differential #diagnosis #algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... to next step if shock ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... - Distributive Shock ... Pneumothorax • Cardiac ... Differential #Diagnosis #Algorithm
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
in vitals and shock ... Echocardiogram #A4c ... clinical #cardiology #effusion
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Differential Diagnosis Algorithm ... Right-to-Left Shunt: Cardiac ... (↑Shunting), ↓Perfusion ... Dead space) • ↓Diffusion ... Differential #Diagnosis #Algorithm
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis Algorithm ... Obstructive: • Cardiac ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Consider IL NS/LR infusion ... dilated IVC - Cardiac ... Cardiac surgery?
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Cardiogenic (Intra-cardiac ... → tension PTX, cardiac ... release syndrome, infusion ... uw_IMresidency #Shock