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Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
Shock can be caused ... for example, in sepsis ... The cause of shock ... #Diagnosis #CriticalCare ... #Shock #Differential
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Paraclinical assessment: EKG ... pericarditis • Rule out differential ... #Myocarditis #differential ... #Diagnosis #Causes ... #cardiology #MRI
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
DISTRIBUTIVE 66% • Sepsis ... CARDIOGENIC 16% • MI ... Classification #diagnosis ... #differential # ... criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... ) UOP > 0.5 cc/kg ... Diagnosis #criticalcare ... algorithm #treatment #management
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... #Differential # ... #Table #CriticalCare
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Diagnosis Algorithm ... Hyperglycemia (e.g ... Surgery, Burns, Sepsis ... ) • Shock • ... endocrinology #causes
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Management #Cardiology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... findings based on cause ... #comparison #criticalcare
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
O2 delivery • MI ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
O2 delivery • MI ... Classification #diagnosis ... #management #Overview ... #criticalcare # ... differential #causes
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