35 results
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... brain or spinal cord ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... diagnosis #management #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... brain or spinal cord ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... overdiuresis • Cold ... • MI, CHF • Cold ... tamponade • Cold ... #differential #criticalcare
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Anaphylaxis - Spinal cord ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing ... Algorithm #rapid #pulmonary
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... SatyaPatelMD #COPD ... LRs #diagnosis #pulmonary
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... pHTN, Advanced COPD ... Pressure Vent, pHTN, Shock ... Disease: Asthma, COPD
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... COPD, and more specifically ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Medications, Spinal Cord ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare