239 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... PCWP • Exam: ↑ JVP ... findings based on cause ... Differential #Diagnosis #table
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Distributive: • High CO ... Cardiogenic: • Low CO ... / High SVR, JVP ... Obstructive: • Low CO ... / High SVR, JVP
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
examination to estimate JVP ... /CVP In this ... > overestimate JVP ... But in rare cases ... #PhysicalExam #JVP
Vasopressors and Inotropes - Comparison Table
Activity: Alpha-1, Beta-1, Dopamine, SVR, HR, CO, BP
Phenylephrine
Vasopressin
Norepinephrine
Epinephrine
Dopamine
Dobutamine
Isoproterenol
Milrinone

- Dr. Eric Strong
Inotropes - Comparison Table ... Dopamine, SVR, HR, CO ... Inotropes #comparison #table
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
venous pressure (CVP ... Cardiac output (CO ... ]/CO) ● Pulmonary ... mean PAp – PCWP]/CO ... /min/m2) (CI = CO
Simplified Vasopressors and Inotropes Comparison Chart
MAP = CO x SVR
Dobutamine - Norepinephrine - Epinephrine - Phenylephrine
Comparison Chart MAP = CO ... Inotropes #comparison #table
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
Increases BP, SVR, CO ... Increases HR, SVR, CO ... • Higher doses cause ... contractility, CO ... cAMP/cGMP • Causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... paradoxical rise in JVP ... Causes = RV failure ... pericarditis (this case ... Clinical #Neck #JVP
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Types - Comparison Table ... JVP, IVC on Ultrasound ... Types #Comparison #Table
Causes of Acute and Chronic Pelvic Pain - Differential Diagnosis Algorithm
Acute Pelvic Pain:
 • Non-Gynecologic
 •
Causes of Acute ... Pelvic Pain: • Co-morbidities ... Diagnosis #Algorithm #Causes