9 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
effusion, cardiac ... Pulmonary embolism ... Tamponade: pericardial ... effusion, small ... #criticalcare #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... Secondary to invasive cardiac ... NONIATROGENIC • Malignancy ... patients with pulmonary ... CAUSES • PRIMARY Cardiac
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in a Shock Patient ... good enough at diagnosing ... EM_RESUS #Clinical #POCUS ... Echocardiogram #Cardiac ... #Effusion
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery?
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... embolism • Cardiac ... ischemia • Pericardial ... effusion/Tamponade ... • Hypovolemic shock
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
- Differential Diagnosis ... infarction • Pulmonary ... embolus • Pericardial ... effusion ... • Shock #Ischemic
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... much as 40% in cardiac ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis
Metastatic Sarcoma causing Cardiac Tamponade on POCUS
This 50 yo man had an aggressive sarcoma with cardiac
Tamponade on POCUS ... and pulmonary involvement ... No pericardial effusion ... #Sarcoma #malignant ... #Tamponade #POCUS
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... drugs, seizures, malignancy ... - Cardiac arrest ... failure - Low cardiac ... output - Acute pulmonary