38 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
- Post-cardiac arrest ... chronic PH - RV myocardial ... LV failure - Myocardial ... infarction - Myocarditis ... Comparison #Table #Diagnosis
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Sudden Cardiac Arrest ... Primary Myocardial ... Processes (> 90%): • Acquired ... #cardiology #differential ... #diagnosis #causes
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis ... HF, Cardiogenic shock ... Aberrancy, VT/VF, Myocardial ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Cardiogenic shock ... eosinophilic) #Myocarditis ... #Diagnosis #Management ... #Cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Myocardial Injury ... Classification Chronic myocardial ... cardiac illness: Myocarditis ... Classification #diagnosis ... #cardiology #troponemia
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... SHOCK • MAP ... , CVP > 12 • Myocardial ... Valve Disease, Myocarditis ... #Differential #Diagnosis
Early and Late Complications of Acute Myocardial Infarction - Timeline of Complications
 - Ventricular Arrhythmias
 -
Complications of Acute Myocardial ... - Cardiogenic Shock ... Dressler Syndrome) #Diagnosis ... #Cardiology #Timeline ... Complications #Myocardial
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... • Cardiogenic: Myocardial ... Valve Disease, Myocarditis ... #Differential #Diagnosis
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Blockers, Digoxin Myocarditis ... #Cardiogenic #Shock ... #Differential #Diagnosis ... #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... LV Failure (MI, myocarditis ... etc), Trauma (myocardial ... , post-cardiac arrest ... #diagnosis #differential