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Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... DISTRIBUTIVE 66% • Sepsis ... CARDIOGENIC 16% • MI ... Cold and Dry #Shock ... Classification #diagnosis #differential
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Distributive: Sepsis ... Cardiogenic: Acute MI ... inopressors #diagnosis #management
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Dehydration Shock ... #Differential # ... algorithm #treatment #management
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), LV Failure (MI ... Valves (wide open MR ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential
Gout (Gouty Arthritis) - MSK Radiology Imaging Findings: • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... Radiology Imaging ... - **MSK rads ... Differential diagnosis ... #diagnosis #msk
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... O2 delivery • MI ... Classification #diagnosis #management ... #criticalcare #differential
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... Vascular tone): • Sepsis ... uw_IMresidency #Shock ... #Differential #
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
Trigonum) Syndrome - MSK ... Radiology Imaging ... hallucis longus Differential ... torn ligament on MRI ... #diagnosis #msk
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Inflammatory: infectious (sepsis ... O2 delivery • MI ... Classification #diagnosis #management ... #criticalcare #differential
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