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diagnosis differential management criticalcare classification table cardiology clinical comparison msk neurology overview posterior pulmonary radiology summary syndrome treatment ankle arrest
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 ... Cold and Dry #Shock
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... RV failure - PE ... Endocarditis - Post-MI
Underlying causes of PEA arrest: H’s and T’s Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia Toxins, Tamponade,
Underlying causes ... acute, massive MI ... lungs: massive PE
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... OnePager Summary Shock ... ), RV Failure (PE ... ), LV Failure (MI ... Valves (wide open MR
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... tamponade, Vascular → PE ... findings based on cause ... uw_IMresidency #Shock
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
score (30-day PE-related ... class (30-day all cause ... Transient Hypotension, Shock
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... O2 delivery • MI ... O2 delivery • PE ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... O2 delivery • MI ... O2 delivery • PE ... #differential #causes
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... • Obstructive Shock ... Pulmonary >> Acute PE ... - MI, arrhythmia
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... exacerbation (any cause ... DrEricStrong #Shock
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