14 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
chronic PH - RV myocardial ... LV failure - Myocardial ... infarction - Myocarditis ... Comparison #Table #Diagnosis ... #Features #Signs
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 ... cardiac death Management ... #Diagnosis #Management ... #Cardiology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Echocardiographic Signs ... Echocardiographic Signs ... the result of a myocardial ... disease. severe myocarditis ... #criticalcare #diagnosis
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
injury/myocarditis ... arrhythmias, Cardiogenic shock ... , Myocardial ischemia ... Extrapulmonary #Diagnosis ... #Signs #Symptoms
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... • Cardiogenic: Myocardial ... Valve Disease, Myocarditis ... #Differential #Diagnosis ... algorithm #treatment #management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... blocking agent • Shock ... Cardiac Disease: • Myocardial ... infarction • Myocarditis ... #causes #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
extracted in the myocardium ... In fact, myocardial ... heart (Sepsis, Shock ... way to increase myocardial ... #diagnosis #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
extracted in the myocardium ... In fact, myocardial ... heart (Sepsis, Shock ... #diagnosis #algorithm ... #management #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... heart disease • Myocardial ... fragment • Other: Myocarditis ... Pts: cardiogenic shock ... #management #cardiology