59 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... • Ruptured aortic ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Inotropes #comparison #table ... #pharmacology # ... criticalcare
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Mechanical • Aortic ... Medication side effect (e.g ... Medication side effect (e.g ... #Causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... tissue disorder e.g ... deficit • Shock ... blood pressure: e.g ... #Dissection #diagnosis
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... , ECG predicted ... from LMCA into aortic ... established, but died on table ... CathLab #clinical #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... dysrhythmias (eg ... the insult (eg, ... #CriticalCare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #table #comparison ... #criticalcare
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... warfarin, DOACs (e.g ... Autoimmune disorders (e.g ... Acute DIC - Septic shock ... #comparison #diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... CNS pathology (e.g ... Pulmonary pathology (e.g ... exacerbation) - Drugs (e.g ... #Table #Causes