29 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis ... #Management #cardiology
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis ... • Severe bum Cardiogenic ... Obstructive: • Cardiac ... #Hypotension #Differential
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic ... shock, Arrythmias ... Low voltage Treatment ... #cardiology #summary
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Pneumothorax, Cardiac ... Treatment Goals ... #management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse ... Abnormalities #Disorders #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... - Pulmonary >> Acute ... resuscitation • Cardiogenic ... Cardiac surgery? ... #criticalcare #treatment
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
presentation: Pseudo-acute ... coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... Troponin Increases, Cardiac ... Diagnosis #Causes #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Elevated troponin • Cardiogenic ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema, to differentiate ... patients, who have an acute ... cardiac infarction ... , may have non-cardiac ... #Diagnosis #Radiology