72 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table #CriticalCare ... Symptoms #Findings #Comparison
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... patients with HCM ... patients with HCM ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... chronic HTN - HOCM ... #Cardiogenic #Comparison
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... , HOCM, etc ... Inotropes #management #criticalcare ... #summary #comparison
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... #Differential # ... Classification #Table #CriticalCare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI ... Cold and Dry #Shock ... Classification #diagnosis #differential ... #criticalcare
Patent Ductus Arteriosus (PDA) on Cardiac MRI

16 y with Syncope /differential cyanosis / clubbing - PDA
PDA) on Cardiac MRI ... with Syncope /differential ... PDA #CardiacMRI #CMRI ... #clinical #cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... #Differential # ... Diagnosis #table #comparison ... #criticalcare
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM ... #HCM #clinical ... echocardiogram #plax #cardiology