13 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Insufficiency, Liver Failure ... Medications, Spinal Cord Injury ... #Classification ... Diagnosis #Types #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Intra-cardiac pump failure ... • Severe heart failure ... Extra-cardiac pump failure ... findings based on cause ... table #comparison #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... - Severe heart failure ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... in blood flow caused ... Depends on the cause ... leading to organ failure ... #Comparison #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... multisystem organ failure ... or spinal cord injury ... decompensated heart failure ... vascular → RV failure
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... • MI, Heart Failure ... management #Overview #criticalcare ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... • MI, Heart Failure ... management #Overview #criticalcare ... #differential #causes
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
you evaluate her JVP ... (video). ... Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... #Video #Clinical
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
biventeicular failure ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #clinical #video ... #jvp #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Acidosis: Hypoxic/Failure ... Hypovolemia - LV failure ... /DKA - Liver failure ... deficiency - Renal failure ... production Renal Failure