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Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis ... infarction • Acute ... Obstructive: • Cardiac ... #Hypotension #Differential
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute ... obstruction to blood ... #Differential #
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Pneumothorax, Cardiac ... • Hypovolemic: Blood ... #Differential # ... algorithm #treatment #management
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
Platelet Count - Differential ... blood loss, Acute ... Inflammatory Conditions: Rheumatologic ... Severe trauma, Acute ... Thrombocytosis #Platelets #Differential
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Pneumothorax, Cardiac ... 6, CVP < 8 • Blood ... Classification #Differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... maintain systolic blood ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... 2s, and normal blood ... lesions), and cardiac ... Pediatrics #Sepsis #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... dilated IVC - Cardiac ... - Pulmonary >> Acute ... Cardiac surgery? ... #Diagnosis #Management
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... → tension PTX, cardiac ... uw_IMresidency #Shock ... #Differential #
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