18 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Catheterization ... arterial catheterization ... However, when the diagnosis ... or the type of shock ... severe cardiogenic shock
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... Sounds • Pulmonary ... Pneumothorax • Cardiac ... #Differential #Diagnosis ... #Algorithm #causes
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Pulmonary embolism ... Signs: Normal cardiac ... #Comparison #criticalcare ... #diagnosis #classification
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Algorithm Hypovolemic ... valvulopathy • Pulmonary ... Obstructive: • Cardiac ... #Algorithm #shock
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Cardiomyopathy #Diagnosis ... differential #cardiology #algorithm
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac ... #diagnosis #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... uw_IMresidency #Shock ... #table #comparison