11 results
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
64%) • Renal dysfunction ... (16%) • Shock ... Treat primary cause ... Coagulation #diagnosis #causes ... #treatment #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
END-ORGAN DYSFUNCTION ... Hemorrhagic → leading ... gastrointestinal bleeding ... Types #diagnosis #management ... warm #wet #dry #table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management ... #differential #causes
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... Hemodynamically stable ... cancer, liver dysfunction ... #Management #Obstetrics
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... event, follow ACC algorithm ... or LV dysfunction ... - what is the bleeding ... medical and surgical management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... exclude other causes ... thrombus, RV systolic dysfunction ... Pts: cardiogenic shock ... Delivery • Stable
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Kidney stones caused ... • Hypovolemic shock ... with specific bleeding ... #Medications #Table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... #management #cardiology ... #treatment #table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... treat the primary cause ... #diagnosis #algorithm ... echocardiogram #management