13 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... contractility) - Acute ... flow) - Massive pulmonary ... Classification #Table ... #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Summary #criticalcare ... #treatment #workup
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... MI, arrhythmia ... Diagnosis #table ... #comparison #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... embolism or severe pulmonary ... types #diagnosis #management ... #criticalcare # ... differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... drained if causing acute ... Revascularization, treatment ... for acute MI if ... HeartFailure #Cardiology #Management
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Presentation: Subacute-Acute ... • Rare: DAH, acute ... Imaging: CXR- pulmonary ... , Anaphylaxis, Acute ... organ dysfuxtion, ICU
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... with presence of pulmonary ... Cardiac cath if acute ... #table #foamed ... #icu #clinical
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... ->treatments include ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute ... pulmonary edema ... hyperaldosteronism • Acute ... • Hypovolemic shock