14 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... Prosthetic valve dysfunction ... #Classification ... Cardiogenic #Comparison #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... Cold and Dry) • Pulmonary ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... flow) - Massive pulmonary ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
moderate diastolic dysfunction ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... #Grading #Classification ... Grades #Criteria #Table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... failure from massive pulmonary ... embolism or severe pulmonary ... #Classification
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... - Risk Stratification ... Hemodynamics (Stable ... Transient Hypotension, Shock ... #Embolism #Risk
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... or high (5-7) risk ... TIMI low (1-2) risk ... Rx: NSTEMI/UA: stable
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Myocardial • Systolic Dysfunction ... • Diastolic Dysfunction ... Artery Disease • Stable ... Differential #Diagnosis #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction ... days before Pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... cardiomyopathy • Pulmonary ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock ... during Delivery • Stable