22 results
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... dissection of ascending aorta ... into valve ring ... embolism or severe pulmonary ... #criticalcare #differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... • Ruptured aortic ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential #
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Consider aortic ... valve disease ... Pulse deficit/differential ... deficit • Shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... dissection of ascending aorta ... into valve ring ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Tamponade, pulmonary ... systemic HTN, aortic ... #Cardiogenic #Shock ... #Differential #
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Decompensated CHF, Severe Valve ... , CVP > 12 • Pulmonary ... Classification #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF, Severe Valve ... • Obstructive: Pulmonary ... Dehydration Shock ... #Differential #
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Pulse Pressure - Differential ... disorders: - aortic ... regurgitation - aortic ... sclerosis (both heart valve ... - Chronic pulmonary
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... Hyperkalemia Pulmonary ... Tachy-Brady syndrome • Aortic ... Valve Endocarditis
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
the level of the Aortic ... Valve Phased ... helps assess for aortic ... heart strain (pulmonary ... Short #Axis #PSAX #echocardiogram