31 results
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in a Shock Patient ... Watch how the heart ... good enough at diagnosing ... Echocardiogram #Cardiac ... #Effusion
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... tamponade, Vascular ... #table #comparison
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... Care Medicine algorithm ... maintain normal perfusion ... lesions), and cardiac ... #Shock #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Algorithm Pericardial ... • Effusion ... • Cardiac Tamponade ... Artery Disease • Stable
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... #management #cold ... warm #wet #dry #table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... • Cardiogenic shock ... , sudden cardiac ... death Management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... • Hypovolemic shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... dilated IVC - Cardiac ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Pneumothorax, Cardiac ... Tamponade, Severe ... #criticalcare #algorithm ... #treatment #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... tamponade, constrictive ... #management #criticalcare