11 results
Clinical features of shock from dehydration in an infant

Decreased level of consciousness 
Sunken fontanelle 
Dry mucous
Clinical features of shock ... dehydration in an infant ... Weak peripheral pulses ... Extremities #PhysicalExam ... #Peds #Pediatrics
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... drop in arterial pressure ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm #causes
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... disorders: - aortic ... #Pressure #Differential ... #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse Pressure = ... Pulse Pressure = ... #Pressure #Differential ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Examine for: • Pulse ... deficit/differential ... deficit • Shock ... Control blood pressure
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
pressure (~100 ... Workup for cause ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... pressure • Pulm ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... pressure • Pulm ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... Raised Intracranial Pressure ... Tachy-Brady syndrome • Aortic ... #cardiology #BRADI
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
Their pulse pressure ... coarctation of the aorta ... #PhysicalExam # ... Examination #Peds ... #Pediatrics #Diagnosis