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Pathophysiology and Clinical Manifestations of Shock

#Shock #Manifestations #Cardiogenic #Hypovolemic #Signs #Symptoms
Pathophysiology ... and Clinical Manifestations ... of Shock #Shock ... Manifestations #Cardiogenic ... #Hypovolemic #Signs
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... • Hypovolemic ... inopressors #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... High SVR: • Cardiogenic ... Decompensated CHF ... compression • Hypovolemic ... algorithm #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... function tests if shock ... suggests total body hypovolemia ... #CHF #Shock #Cardiogenic ... HeartFailure #Cardiology #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... neurogenic/spinal Hypovolemic ... RP bleed) • Hypovolemic ... wound. drains) Cardiogenic ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... neurogenic/spinal Hypovolemic ... RP bleed) • Hypovolemic ... wound. drains) Cardiogenic ... Classification #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... • Consider intraaortic ... #Shock #Management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Fulminant: - Acute HF ... , Cardiogenic shock ... Myocarditis #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
patient causing hypovolemia ... is essentially Cardiogenic ... Shock. ... differential #algorithm #management ... #heartfailure #chf
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
GrepMed Handbook Clinical ... Toxic Megacolon, Shock ... Perforation) Pathophysiology ... can be community-acquired ... Ileus, Megacolon, Shock