28 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnosis and Management ... Hypoperfusion from Cardiac ... #Cardiogenic #Shock ... #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR ... Tamponade - Pulmonary ... Cardiac surgery? ... #Diagnosis #Management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... failure from massive pulmonary ... embolism or severe pulmonary ... pneumothorax, cardiac ... types #diagnosis #management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... pneumothorax, cardiac ... Types #diagnosis #management
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... regurgitation; PS, pulmonary ... stenosis; MVP/MR ... DrJayMohan #Cardiac ... Maneuvers #Heart #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Valves (wide open MR ... Pneumothorax, Cardiac ... Tamponade, Pulmonary ... pancreatitis, post-cardiac
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... Dehydration Shock ... algorithm #treatment #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
with cardiogenic shock ... or hypovolemic shock ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... catheter #diagnosis #cardiology