39 results
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Classification and Differential ... hypoperfusion: Cardiac ... hypoperfusion, Shock ... failure, Short bowel syndrome ... Classification #Differential
“H’s & T’s“ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
reversible causes of Cardiac ... Hydrogen Ion Excess (Acidosis ... Hypothermia Tamponade (Cardiac ... #HsTs #acls #differential ... diagnosis #arrest #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... #Differential # ... algorithm #treatment #management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... followed by rapid collapse ... Disorders #Cardiology #Differential
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Severe Anemia, Cardiac ... Ischemia, Compartment Syndrome ... #Differential #
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
HyperKalemia - Differential ... • Tumor lysis syndrome ... • Metabolic acidosis ... inhibitor • Cardiac ... #HyperKalemia #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... anaphylaxis, release syndrome ... uw_IMresidency #Shock ... #Differential #
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Hyponatremia - Differential ... with renal tubal acidosis ... Stress, Drugs, Syndrome ... , Cirrhosis, Cardiac ... #Hyponatremia #Differential
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... motion (PVFM) Cardiac ... Pulmonary embolism • Cardiac ... • Metabolic acidosis ... • Hypovolemic shock
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... oliguria, lactic acidosis ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management