19 results
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
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Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... - Obstructive (Mechanical ... DrEricStrong #Shock ... Classification #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... Obstructive (Mechanical ... DrEricStrong #Shock ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Valvular Disease, Mechanical ... #Vasopressors #shock ... management #comparison #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition ... shock. ... bradyarrhythmias • Mechanical ... hypertension • Mechanical ... warm #wet #dry #table
Interrupted IVC on Angiography

Patient taken for PTMC, unexpected surprise on cath table. 

Dr. Gopalan Rajesh @DrRajeshG1

#Interrupted
surprise on cath table ... Interrupted #IVC #Angiogram ... venogram #clinical #cathlab
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Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pump failure): • Mechanical ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Flowchart guide to diagnosing sepsis and septic shock. Visit gramproject.com for more medical diagrams, tables and
sepsis and septic shock ... medical diagrams, tables ... #algorithm #diagnosis ... #sepsis #shock
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Rx: NSTEMI/UA: stable ... #Inpatient #CathLab
Disc Herniations - Pathogenesis and Complications
• 90% of Lumbar disc herniations happen at L4/5 and L5/S1
•
-> Disc less able ... dehydration) decr shock-absorbing ... capacity -> Mechanical