19 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... RV failure - PE ... Cardiogenic #Comparison #Table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
score (30-day PE-related ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... bradycardia • Sinus pauses ... • Massive PE ... Classification #Table ... #Causes
Underlying causes of PEA arrest: H’s and T’s 

Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia
Toxins, Tamponade,
Underlying causes ... lungs: massive PE ... Differential #Diagnosis #Table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... tamponade, Vascular → PE ... findings based on cause ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... DrEricStrong #Shock ... Classification #Table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... Distributive Shock ... O2 delivery • PE ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... Distributive Shock ... O2 delivery • PE ... #differential #causes
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
decades of life Causes ... fever, fatigue, Nausea ... , Hypotension, shock ... rheumatology #comparison #table