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Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac ... Studies • POCUS ... #Shock #Diagnosis ... #Management #cardiology
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... Extremities - Cardiogenic ... Lung Crackles ... Sounds • Pulmonary ... Pneumothorax • Cardiac
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
and non-cardiogenic ... have an acute cardiac ... , may have non-cardiac ... #Diagnosis #Radiology ... #Pulmonary #CXR
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... 1 — Treat the lungs ... #CHF #Shock #Cardiogenic ... #Management
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
- Congestive Cardiac ... #Diseases #Radiology ... #Patterns #Lung ... #CXR #XRay #ChestCT ... #Differential #Diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Management #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
thrombosis • Cardiac ... arrhythmias, Cardiogenic ... shock, Myocardial ... ischemia, Acute cor ... Extrapulmonary #Diagnosis
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... and non-cardiogenic ... #Diagnosis #Radiology ... #CXR #Batwing #