15 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... dissection • ... drop in arterial pressure ... • Hypovolemic shock ... regurgitation
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Examine for: • Pulse ... deficit/differential ... deficit • Shock ... #Dissection #diagnosis ... #management #vascular
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse pressure ... Pulse Pressure = ... Pulse Pressure = ... #Pressure #Differential
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Pathologic: • Valvular ... regurgitation ... #Pressure #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... systemic HTN, aortic ... dissection ... #Differential # ... Diagnosis #Cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... rupture, dissection ... ) • Puimonary vascular ... #diagnosis #management ... #criticalcare #differential
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Diagnosis Framework ... Hypotension Blood Pressure ... Volume x Peripheral Vascular ... • Aortic regurgitation
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of ... shock remains undetermined ... severe cardiogenic shock ... #NormalValues #Differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... rupture, dissection ... of ascending aorta ... • Pulmonary vascular ... #diagnosis #management