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diagnosis cardiology clinical differential echocardiogram pocus algorithm management tamponade effusion criticalcare treatment acls classification hypotension s4c table workup adult aha2020
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
in blood flow caused ... by a massive pericardial ... Depends on the cause ... Pulmonary embolism ... Tamponade: pericardial
Cardiac Rupture with Pericardial Effusion Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound ... #Cardiology #A4c
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 Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
motion (PVFM) Cardiac ... : • Pulmonary ... embolism • Cardiac ... ischemia • Pericardial ... • Hypovolemic shock
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm Cardiac ... Causes - Rule out ... Regurgitation - Pericardium ... Pericarditis • Pericardial ... Causes: - Parenchyma
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Sounds • Pulmonary ... Pneumothorax • Cardiac ... Diagnosis #Algorithm #causes
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... dilated IVC - Cardiac ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery?
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac ... #causes
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Pulmonary View ... Pulmonary View ... #shock
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Diagnosis Algorithm Pericardial ... • Effusion • Cardiac ... Pleural Thickening/Masses ... Diagnosis #Algorithm #Causes
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