47 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Cardiogenic (Intra-cardiac ... failure): • Severe heart ... Obstructive (Extra-cardiac ... → tension PTX, cardiac
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... goals—restore and maintain heart ... except congenital heart ... lesions), and cardiac ... #CriticalCare #
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Diagnostic Schema ... inflammation (e.g ... Thrombus / Embolism: Cardiac ... strangulation), Heart ... /Vessels (Heart
Intraoperative Cardiac Defibrillation

Hanin Alashi, CCP @iNeena

#Intraoperative #Cardiac #Defibrillation #CTS #thoracic #surgery #clinical #video #heart #shock
Intraoperative Cardiac ... Intraoperative #Cardiac ... thoracic #surgery #clinical ... #video #heart # ... shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... Diagnosis #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Losses (bums, heat ... #diagnosis #differential ... guyton #curves #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... pneumothorax, cardiac ... #management #criticalcare ... #differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... Watch how the heart ... good enough at diagnosing ... @EM_RESUS #Clinical ... Echocardiogram #Cardiac