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differential table treatment causes overview algorithm cardiogenic cardiomyopathy chf clinical distributive drugs features foamed heartfailure hypovolemic icu inopressors myocarditis peripartum
Shock Types and Classification DISTRIBUTIVE 66% • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic • Warm
Shock Types and ... Classification ... CARDIOGENIC 16% • MI ... #diagnosis #differential ... #criticalcare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Bedside Classification ... Endocarditis - Post-MI ... #Classification ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... • Cardiogenic shock ... cardiac death Management ... #Management #Cardiology
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
O2 delivery • MI ... #Classification ... #diagnosis #management ... #Overview #criticalcare ... differential #causes #classification
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
O2 delivery • MI ... #Classification ... #diagnosis #management ... #Overview #criticalcare ... differential #causes #classification
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... - MI, arrhythmia ... #Diagnosis #Management ... #Summary #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... #table #comparison ... #criticalcare
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... Cardiomyopathy #diagnosis ... #management #cardiology
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