56 results
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High CO / Low SVR ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... algorithm #treatment #management
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... Pulmonary View ... Pulmonary View ... Pregnancy and DVT
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Framework MAP = CO x SVR ... findings based on cause ... anaphylaxis, release syndrome ... uw_IMresidency #Shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Prepare • Full Set ... Tamponade - Pulmonary ... #Diagnosis #Management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... Pipes Problem (↓ SVR ... cytokine release syndrome
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
• Bradycardia caused ... (sick sinus syndrome ... Pheochromocytoma • Pulmonary ... Arrhythmias: • SVT ... & termination: SVT
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... @nickmmark #Pulmonary ... prognostication #diagnosis #management
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
Causes of Acute ... Bacteremia Septic Shock ... Thrombophlebitis • DVT ... Neuroleptic malignant syndrome ... Diagnosis #Algorithm #causes
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
rapidly fatal • Causes ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... Identify underlying cause ... comparison #diagnosis #management