72 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... Diagnostic Studies • POCUS ... #Cardiogenic #Shock
#Pathophysiology #PulmonaryEmbolism #RVDysfunction #Perils #DeathSpiral #Shock #Progression #curbsiders
PulmonaryEmbolism #RVDysfunction ... #DeathSpiral #Shock
Diastology - Measuring Diastolic Dysfunction on POCUS

#Diastology #Diastolic #Dysfunction #POCUS #Measurement #Cardiology #Diagnosis
Measuring Diastolic Dysfunction ... on POCUS #Diastology ... #Diastolic #Dysfunction ... #POCUS #Measurement
The Death Spiral: Increased RV Afterload (Acute PE) 
#Pathophysiology #PE #PulmonaryEmbolism #Embolism #DeathSpiral #Shock #RVDysfunction #RebelEM
#DeathSpiral #Shock ... #RVDysfunction
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Fibrillation AV nodal dysfunction ... , Sinus nodal dysfunction ... #Cardiogenic #Shock
Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
 - Patient with knee in extension. Push posterior on
Patellofemoral dysfunction ... of patella then ask ... Patellofemoral #msk
Estimating Left Ventricular Filling Pressure by Echocardiography

#Diagnosis #Cardiology #Echocardiogram #POCUS #Diastolic #Dysfunction #Diastology #Diastasis #EWave #AWave
Echocardiogram #POCUS ... #Diastolic #Dysfunction
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... cellular/metabolic dysfunction ... Infection + Organ dysfunction ... infection + organ dysfunction ... to assess organ dysfunction
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... or hypovolemic shock ... Ahmed Ghoneem, MD MSc