17 results
Intra-Aortic Thrombi on Cardiac MRI
4 intraaortic thrombi attached to the wall of the descending aorta,moving in
on Cardiac MRI ... 4 intraaortic thrombi ... synchrony with cardiac ... cycle #IntraAortic ... Aorta #CardiacMRI #Clinical
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Coronary Artery Thrombus ... in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
of Factor IX Acquired ... inhibitors, direct thrombin ... Acute DIC - Septic shock ... Deficiencies #Summary #table ... #comparison #diagnosis
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table ... #comparison #criticalcare
Mobile Aortic Thrombi - Gated aortic magnetic resonance imaging revealed four intraaortic thrombi (arrows) attached to
Mobile Aortic Thrombi ... revealed four intraaortic ... thrombi (arrows ... synchrony with the cardiac ... cycle #Clinical
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Internet Book of Critical ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
demonstration of platelet thrombi ... high index of clinical ... suspicion is required ... #Endocarditis #comparison ... Marantic #diagnosis #table
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
life Causes and clinical ... , Hypotension, shock ... #rheumatology #comparison ... #table