11 results
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... Classification - Hypovolemic ... blood flow) Dr ... #Differential #Diagnosis ... Symptoms #Findings #Comparison
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... Algorithm Hypovolemic ... Dysautonomia Obstructive ... pericarditis Dr ... #Differential #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Hypovolemic ... contractility) - Acute ... (Mechanical obstruction ... pneumothorax Dr
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... cardiomyopathy Acute ... LV outflow Obstruction ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Arrhythmias / CHB • Hypovolemic ... Pancreatitis • Obstructive ... #inopressors #diagnosis ... #management #comparison
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Pulse Abnormalities ... Unequal/DeIayed: • Obstructive ... tamponade • AECOPD/ Acute ... of Asthma • Hypovolemic ... shock • Constrictive
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Reverse • Obstructive ... - Pulmonary >> Acute ... Pneumothorax • Hypovolemic ... Shock - Dry
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... MAP = CO x SVR Hypovolemic ... heart failure, acute ... , S3, crackles Obstructive ... #table #comparison
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... into valve ring OBSTRUCTIVE ... (Cold and Dry) ... cardiomyopathy HYPOVOLEMIC ... Classification #Types #diagnosis
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
of Factor IX Acquired ... DIC - Septic shock ... leukemia - Dr ... Summary #table #comparison ... #diagnosis #hematology