45 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... flow) - Massive pulmonary ... tamponade - Tension ... Classification #Table #CriticalCare
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI ... OBSTRUCTIVE 2% • PE, tension ... Classification #diagnosis ... #differential #criticalcare
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
MRI: Posterolateral ... torn ligament on MRI ... osteochondral lesion ... Syndrome #clinical #mri ... #msk
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... • OBSTRUCTIVE: Tension ... Cardiac Tamponade, Pulmonary ... #diagnosis #differential ... guyton #curves #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... tamponade, or tension ... Pulmonary embolism ... #Comparison #criticalcare ... #diagnosis #classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Tamponade Tension ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis ... #management #comparison
Extrapulmonary manifestations of sarcoidosis.
a. Endobronchial cobblestones (a nodular appearance of the tracheal wall mucosa). 
b. Diffuse
causing cystic lesions ... enhancement (arrow) on MRI ... a patient with pulmonary ... MRI scan showing ... clinical #photo #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... #table #comparison ... #criticalcare
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 • Arrows identifying the characteristic edema-like signal
) - MSK Radiology ... repeated follow-up MRI ... ) Differential diagnosis ... #clinical #mri ... #msk