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differential management classification algorithm treatment types cardiology chronic dyspnea neurology overview table acute cardiomyopathy challenges clinical comparison cryofibrinogenemia fluid foamed
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
overdiuresis • Cold ... CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... tamponade • Cold ... Classification #diagnosis
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... brain or spinal cord ... ring OBSTRUCTIVE (Cold ... Classification #types #diagnosis ... #management #criticalcare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential Diagnosis ... Medications, Spinal Cord ... Decompensated CHF ... , CVP > 12 • Pulmonary ... #Types #criticalcare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... - Differential Diagnosis ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... Interstitium • ILD • CHF
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Differential Diagnosis ... pHTN, Advanced COPD ... Pressure Vent, pHTN, Shock ... Disease: Asthma, COPD ... #causes #pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Medications, Spinal Cord ... Decompensated CHF ... • Obstructive: Pulmonary ... #criticalcare #
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Pulmonary/Chest ... Acute: Trauma, COPD ... Chronic: Asthma, COPD ... decompensated CHF ... : Tumor, Vocal cord
Causes of Pediatric Stridor - Differential Diagnosis Algorithm Present Since Infancy with No Respiratory Distress: • Laryngomalacia Present
Causes of Pediatric ... Hemangioma • Vocal Cord ... Hemangioma • Vocal Cord ... #Peds #Pediatrics ... #Pulmonary
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
- Differential Diagnosis ... • Asthma • COPD ... Pneumonia • CHF ... • Hypovolemic shock ... #Differential #Diagnosis
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