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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... Class Ill) - Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... brain or spinal cord ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... warm #wet #dry #table
Causes of Chronic Cough - Differential Diagnosis Algorithm

Abnormal Chest X-Ray:
 • Chronic Infection (Eg. Fungal, Tuberculosis)
Differential Diagnosis Algorithm ... FVC < LLN): • Asthma ... • COPD Upper ... Lower Airway: • Asthma ... • Vocal Cord
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... frequent • Symptoms: Cough ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Cough - Diagnostic ... Airway Disease: Asthma ... , COPD, Sinusitis ... @Ndouthit #Cough ... #Differential #Algorithm
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... Obstruction • Asthma ... • COPD • Bronchiectasis ... Pneumonia • ARDS • COPD
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Cold Urticaria Prevalence ... skin contact with cold ... minutes after the cold ... , Hypotension, shock ... #table
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
chronic lung such as Asthma ... and COPD Metoprolol ... management #treatment #comparison ... #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table