38 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... inopressors #diagnosis #management ... #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Treatment Goals ... #Differential # ... criticalcare #algorithm #treatment ... #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... essential to determine treatment ... ), LV Failure (MI ... ), Neurogenic (SCI ... #diagnosis #differential
Cardiac Event Monitors - Heart Monitor Comparison
 - Holter - 24-48 hrs
Heart Monitor Comparison ... Cardiac Telemetry (MCT ... #cardiac #cardiology ... #holter #cardiology ... #management #selection
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - MI, arrhythmia ... #Diagnosis #Management ... #criticalcare #treatment
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table #comparison
A primer on the causes, evaluation and management of Acute Myocardial Infarction in Young Patients. 
Obstructive:
evaluation and management ... CAD MINOCA - MI ... Hypercoagulable States #cardiology ... #Young #cardiology ... #MINOCA #differential
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... ) Cardiogenic Shock ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
Cor triatriatum
 • Epidemiology
 • Etiology
 • Associated Lesions
 • Differentials Diagnosis
 • Anatomy - Sinister,
Associated Lesions • Differentials ... Diagnosis • Treatment ... Post-Operative Management ... CorTriatriatum #diagnosis #management ... #cardiology #summary