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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 Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... Pneumothorax • Cardiac ... #Hypotension #Differential
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 #
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Anaphylaxis - Post-cardiac ... cardiomyopathy Acute
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS" Peripheral cyanosis • Cold • Obstruction • LVF and shock
Differential Diagnosis ... Obstruction • LVF and shock ... • Decreased cardiac
Causes of acute heart failure - Acute pressure overload (increased afterload, mechanical flow obstruction) -
Causes of acute ... heart failure - Acute ... impairment - Acute ... impairment - Cardiac ... Heart #Failure #Differential
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute ... DrEricStrong #Shock ... #Differential #
Pericardial Tamponade in a Shock Patient Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... how the heart collapses ... Echocardiogram #Cardiac
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... dilated IVC - Cardiac ... - Pulmonary >> Acute ... Cardiac surgery?
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