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shock radiology management classification clinical msk table appearance causes hepatic hepatology lesions overview acidosis algorithm ankle contrast ct curves encephalopathy
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
insufficiency, liver ... CARDIOGENIC 16% • MI ... Classification #diagnosis ... #differential # ... criticalcare
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
(Os Trigonum) Syndrome ... hallucis longus Differential ... diagnosis for similar ... Trigonum #OsTrigonum #Syndrome ... #diagnosis #msk
Appearance of Liver Lesions on Various Imaging Modalities • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Resonance Imaging (MRI ... #POCUS #radiology ... #differential # ... diagnosis #comparison
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Insufficiency, Liver ... Abdominal compartment syndrome ... #Diagnosis #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... anaphylaxis, release syndrome ... #comparison #criticalcare
Haglund Syndrome - MSK Radiology Imaging Findings: • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
margin calcaneal posterior ... Differential diagnosis ... Often involves posterior ... Heel #clinical #mri ... #diagnosis #msk
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
DISTRIBUTIVE: Sepsis ... neuraxial anesthesia), Liver ... Undifferentiated #Shock #diagnosis ... #differential # ... guyton #curves #criticalcare
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Eclampsia, Infection/Sepsis ... factor PRES Diagnosis ... Vascular narrowing on MRA ... Reversible course Differential ... Diagnosis: •
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Ischemia, Compartment Syndrome ... Clearance: Systemic liver ... Malaria, Late Sepsis ... #Diagnosis #criticalcare
Appearance of Liver Lesions on Magnetic Resonance Imaging (MRI) - T2, T1 precontrast, T1 portal venous,
Appearance of Liver ... Resonance Imaging (MRI ... MagneticResonance #radiology ... #differential # ... diagnosis #comparison
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