27 results
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... Low JVP • Sepsis ... Extremities - Cardiogenic ... Sounds • Pulmonary ... #Hypotension #Differential
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... • Severe bum Cardiogenic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Distributive: • Sepsis
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... Shock: Beta-Blockers ... Tamponade, pulmonary ... #Shock #Differential ... #Diagnosis #Cardiology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... DISTRIBUTIVE 66% • Sepsis ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... Classification #diagnosis #differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... treatment for acute MI ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... ) Cardiogenic ( ... contractility) - Acute MI ... flow) - Massive pulmonary ... #Differential #
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... / Low SVR • Sepsis ... Spinal Cord Injury Cardiogenic ... , CVP > 12 • Pulmonary ... Classification #Differential
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Distributive: Sepsis ... Neurogenic • Cardiogenic ... : Acute MI, Acute ... Pericardial tamponade, Pulmonary
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Cardiac Tamponade, Pulmonary ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential