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diagnosis management shock workup anesthesiology checklist classification intraoperative acidosis cardiology causes comparison curves cyanosis elevation erythematosus guyton hemopericardium hypotension hypoxia
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
)- Differential ... Secondary to invasive cardiac ... NONIATROGENIC • Malignancy ... (e.g., metastatic ... #Differential #
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... • HYPOVOLEMIC: Hemorrhage ... Shock #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Intravascular volume): • Hemorrhage ... tamponade, Vascular ... release syndrome, infusion ... table #comparison #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... Cardiac surgery? ... Management #Summary #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... tamponade → 3-9 ... #Hypotension #Differential ... Anesthesiology #Anesthesia
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
pneumothorax, cardiac ... tamponade, constrictive ... Cold and Dry): • Hemorrhagic ... diagnosis #management #criticalcare ... #differential
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
blood gas, 12-lead ECG ... embolism → 3-5 o Cardiac ... ) → 3-12 o Cardiac ... tamponade → 3-9 ... Sepsis → 3-14 o Malignant
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... hypoxemia/Sepsis etc ... drugs, seizures, malignancy ... - Cardiac arrest ... failure - Low cardiac
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Infections • Malignancy ... Lungs: • Pleural effusions ... Diffuse alveolar hemorrhage ... Cytopenias • Cardiac
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