13 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... , Acute Heart Failure ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... - Severe heart ... flow) - Massive pulmonary ... #Differential #Diagnosis
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Cardiac Tamponade, Pulmonary ... Losses (bums, heat ... #diagnosis #differential
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential Diagnosis ... Algorithm Syndrome ... • Drugs • Pulmonary ... • Congestive heart ... #Hyponatremia #Nephrology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential Diagnosis ... Algorithm Syndrome ... • Drugs • Pulmonary ... • Congestive heart ... #Hyponatremia #Nephrology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... e.g., PE, right heart ... a_h_ghoneem #Right #Heart ... artery #catheter #diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... regurgitation; PS, pulmonary ... stenosis; MVP/MR ... Murmurs #Maneuvers #Heart ... #PhysicalExam #Diagnosis
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... Torsemide) • Acute pulmonary ... with congestive heart ... • Hypovolemic shock ... Excretion #Diuresis #Nephrology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ) • Valvular heart ... cardiomyopathy • Pulmonary ... ancestry, LGE on MRI ... Pts: cardiogenic shock