67 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Attempt vagal maneuvers ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... Treatment #management #cardiology
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... Pneumonia • CHF ... Tachypnea: • Pulmonary ... • Hypovolemic shock ... Differential #Diagnosis #pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Decompensated CHF ... • Obstructive: Pulmonary ... Dehydration Shock ... Differential #Diagnosis #criticalcare
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... of Cardiogenic Shock ... Tamponade, pulmonary ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... stratification #criticalcare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare