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diagnosis shock causes criticalcare cardiology comparison syncope workup acidosis algorithm cardiogenic cardiomyopathy catheterization cathlab curves dementia distributive elevation erythematosus evaluation
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Failure, Toxins/Medications ... Pneumothorax, Cardiac ... #Differential #
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... #Diagnosis #Classification ... #Table #CriticalCare
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... CM #Shock #Classification ... Cardiogenic #Comparison #Table
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... depletion - Medication ... #Syncope #Differential ... #Table #Causes
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
MRI, iADL scale, ... - 25% genetic component ... MNCD #Dementia #Differential ... #Subtypes #Classification
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... → tension PTX, cardiac ... uw_IMresidency #Shock #Differential ... #Diagnosis #table
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab Indications ... New/worsening MR ... Rx: NSTEMI/UA: stable ... Inpatient #CathLab #Indications ... #Cardiac #catheterization
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Syncope - Differential ... • Anemia • Medications ... • Migraine Cardiac ... Contractility: • MI ... Stenosis • Cardiac
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Renal Loses - Medications ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... #Classification
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... thyrotoxicosis), Medications ... Shock #diagnosis #differential
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