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diagnosis management criticalcare cardiology classification differential causes treatment algorithm cardiac cardiomyopathy comparison echocardiogram cathlab cold embolism foamed icu overview peripartum
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... Cardiogenic #Comparison #Table
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... cellular/metabolic dysfunction ... /hypofunction. ... CLINICAL RECOGNITION ... CLINICAL FEATURES
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition ... shock. ... END-ORGAN DYSFUNCTION ... warm #wet #dry #table
Causes, classification and compensatory responses to shock. Shock can be caused by any pathological process that leads
compensatory responses to shock ... Shock can be caused ... vasodilatation, myocardial dysfunction ... The cause of shock ... is often clinically
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... death Common Clinical ... Distributive Shock
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... death Common Clinical ... Distributive Shock
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical
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 Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
organ damage Clinical ... 64%) • Renal dysfunction ... 25%) • Hepatic dysfunction ... • Respiratory dysfunction ... (16%) • Shock
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... -(rare), Valve dysfunction ... failure ++, Valve dysfunction ... Valve destruction/dysfunction ... Marantic #diagnosis #table
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