21 results
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... and Survey 4) Workup ... - Distended neck ... crackles, elevated JVP
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... release syndrome, infusion ... uw_IMresidency #Shock ... #Differential #
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Differential Diagnosis ... , Volume Exam (JVP ... CXR, CTA Chest, Echocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... HEMORRHAGIC SHOCK ... Ameliorate increased work ... oxygenation; remove work ... #Shock #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... maintain normal perfusion ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... 100/82, HR 74, JVP ... transthoracic echocardiogram ... to workup right-heart ... circumferential pericardial effusion
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock, cryptic ... shock. ... diminished tissue perfusion ... types #diagnosis #management ... #criticalcare #differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... o infection • Echocardiogram ... LVEF, pericardial effusion ... crescentic GN by Nick ... #diagnosis #management
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
with a normal echocardiogram ... , and elevated JVP ... Workup for cause ... highest on my differential
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
indicated; expose neck ... to assess for neck ... - Hemorrhagic shock ... a late sign of shock ... Survey #CABCDE #management