28 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Classification and Differential ... Decompensated CHF ... Pneumothorax, Cardiac ... Classification #Differential ... Diagnosis #Types #criticalcare
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Acute Dyspnea - Differential ... Infarction* • Cardiac ... Tamponade* • CHF ... #Dyspnea #SOB #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... Pneumothorax, Cardiac ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
CARDIOGENIC 16% • MI, CHF ... Classification #diagnosis #differential ... #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& lower airway collapse ... In CHF, decreases ... Indications: • CHF ... patients (ie., CHF ... #indications #criticalcare
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
blood flow • HF ... determines if cardiac ... • Circulatory collapse ... #presentation #Differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... followed by rapid collapse ... Disorders #Cardiology #Differential
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Status (AMS) - Differential ... stimulation Cardiac ... : • CHF • Fluid ... encephalopathy #altered #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Cardiogenic (Intra-cardiac ... → tension PTX, cardiac ... uw_IMresidency #Shock #Differential ... table #comparison #criticalcare
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... Pneumonia • CHF ... motion (PVFM) Cardiac ... Pulmonary embolism • Cardiac ... Tachypnea #Hyperpnea #Differential