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diagnosis management differential treatment cardiology criticalcare evaluation hepatology hepatorenal hrs nephrology pharmacology syndrome acidosis acs angina cardiomyopathy chestpain chf clinical
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... PRE-SHOCK - Compensated ... end-organ damage, multisystem ... • Most common type ... warm #wet #dry #table
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... PRE-SHOCK - Compensated ... end-organ damage, multisystem ... - Most common type ... #Classification
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... be used in all types ... Inotropes #comparison #table
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Type 1) • ↑ Creatinine ... 20% HAS) • No shock ... nephrotoxics (e.g ... Type 2) • HRS-AKD ... - No other cause
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... undifferentiated shock ... is in impending shock ... classification
Hyperglycemia - Differential Diagnosis Algorithm Diabetes Mellitus: • Impaired Glucose Tolerance • Type I Diabetes • Type
Tolerance • Type ... I Diabetes • Type ... Hyperglycemia (e.g ... Burns, Sepsis) • Shock ... endocrinology #causes
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect (e.g ... Differential #Diagnosis #Classification ... #Table #Causes
Chest Pain / ACS Evaluation Algorithm Algorithm that attempts to the use history taking (guided by LRs),
Algorithm that ... taking (guided by LRs ... Diamond-Forrester classification ... physical activity - Nausea ... - History - EKG
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Exclude other AKI causes ... Classification: ... Type 1): • Rapid ... Type 2): • Gradual ... liver insult (e.g
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... : cardiogenic shock ... during Delivery • Stable ... hemodynamics (e.g
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