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

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... - Severe heart ... flow) - Massive pulmonary ... Classification #Table
PAH vs. heart failure with preserved ejection fraction [HFpEF]
#Diagnosis #Pulmonary #Hypertension #PAH #Comparison #Table #HFpEF #DiastolicCHF
PAH vs. heart failure ... fraction [HFpEF] #Diagnosis ... #Pulmonary #Hypertension ... #PAH #Comparison ... #Table #HFpEF #
Clues to Differential Diagnosis of Central Cyanosis: Onset of cyanosis, Clubbing, Secondary erythrocytosis, Auscultation, X-ray, Echocardiography,
to Differential Diagnosis ... gas - Cyanotic heart ... defect - Pulmonary ... Cardiology #Causes #Table ... #Comparison
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
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
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... Classification #Types #diagnosis ... warm #wet #dry #table
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
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