47 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... infarction • Acute ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... #causes
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... • Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Bronchospasm, Pulmonary ... Pressure Vent, pHTN, Shock ... Differential #Diagnosis #causes ... #pulmonary
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Stroke • Renal: Acute ... vein thrombosis, Pulmonary ... arrhythmias, Cardiogenic shock ... Myocardial ischemia, Acute ... cor pulmonale
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... 5) History of acute ... , Diaphoresis, Pulmonary ... edema, Shock Labs
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... the underlying cause
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) • Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) • Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... Types #diagnosis #management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management