15 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... Diagnosis SHOCK ... Pneumothorax, Cardiac ... Classification #Differential
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Low JVP ... Arrhythmia • Cardiomyopathy ... Pneumothorax • Cardiac ... #Hypotension #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Cardiogenic (Intra-cardiac ... → tension PTX, cardiac ... uw_IMresidency #Shock ... #Differential #
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... Cardiogenic: • Cardiomyopathy ... Obstructive: • Cardiac ... #Hypotension #Differential
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Restrictive Cardiomyopathy ... Physical Exam: ↑JVP ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Diagnosis #Causes #differential
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Wet): • Cardiomyopathic ... infarction, following cardiac ... pneumothorax, cardiac ... pericarditis, restrictive cardiomyopathy ... #criticalcare #differential
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... pulmonary stenosis; MVP ... hypertrophic obstructive cardiomyopathy ... DrJayMohan #Cardiac ... Heart #Cardiology #PhysicalExam
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... • Restrictive Cardiomyopathy ... Disorders #Cardiology #Differential
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign - Differential ... Typically the JVP ... or increase in JVP ... include restrictive cardiomyopathy ... Kussmauls #Sign #physicalexam
Kussmaul's Sign on Neck Physical Examination

Elderly woman with a history of myocardial revascularization surgery is hospitalized
with restrictive cardiomyopathy ... patients after cardiac ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #JVP