11 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... followed by rapid collapse ... #causes
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #Differential # ... #comparison #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Renal Losses(salt-wasting ... #diagnosis #differential ... guyton #curves #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
develop in the setting ... Classification #diagnosis ... management #Overview #criticalcare ... #differential # ... causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
develop in the setting ... Classification #diagnosis ... management #Overview #criticalcare ... #differential # ... causes #classification
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Severe Anemia, Cardiac ... Beta-Agonists, ↑ work ... separate D-lactate testing ... #Diagnosis #criticalcare
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... disease • Cardiac ... Pulse deficit/differential ... deficit • Shock ... Aortic #Dissection #diagnosis
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
intralobular bile ducts causes ... Proximal limb muscle wasting ... bile ducts Differential ... of pregnancy, Cardiac ... #workup #hepatology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... Cardiac cath if ... the determined cause ... #diagnosis #differential ... heartfailure #chf #criticalcare
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
cardiac output. ... heart (Sepsis, Shock ... treat the primary cause ... #diagnosis #management ... foamed #algorithm #criticalcare