13 results
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... (GIB, RP bleed) ... pancreatitis), GI ... Classification #diagnosis #differential ... #criticalcare
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... ± EGD Causes ... of Upper GI Bleed ... #Differential #
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... Classification #Table #CriticalCare
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... CMC_IM #Upper #Lower ... #GIBleed #differential ... #diagnosis #Causes
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... the underlying cause ... NatalieRosen_MD #GI ... #Bleed #GIB #Gastrointestinal ... #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #differential # ... causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #differential # ... causes #classification
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Hypovolemic: Blood Loss, GI ... #Differential # ... Diagnosis #criticalcare ... algorithm #treatment #management
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria + clots ➔ Lower ... Bladder (Upper and Lower ... Pseudohematuria: • GI ... bleed • Menstruation
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Hemoptysis - Differential ... Kaposi's sarcoma • Rheumatologic ... Bevacizumab Mimics: • GI ... bleed: esophageal ... Diagnosis #pulmonary #causes