21 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Decompensated CHF ... • Obstructive: Pulmonary ... Tamponade, Severe pHTN
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... Shock: Beta-Blockers ... Tamponade, pulmonary ... HTN, systemic HTN ... #Shock #Differential
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... Vasodilation) - Cardiogenic ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... diagnosis #management #comparison ... #table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... • Severe bum Cardiogenic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... hypertension Distributive
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Elderly with chronic HTN ... #Distributive #Cardiogenic ... #Comparison #Table
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... hypertension Rx ... Optimize the MAP - HTN ... #CHF #Shock #Cardiogenic
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... ) Cardiogenic ( ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Classification #Differential
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... those with severe cardiogenic ... artery hypertension ... #NormalValues #Differential ... #Table #Chambers