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differential management algorithm classification criticalcare allergy coagulation cold comparison dic encephalopathy hematology intravascular manifestations multiple neurology nonresponder nonresponse organsystems posterior
Shock and Hypotension - Differential - Cardiogenic - Hypovolemic - Distributive - Obstructive M. Daniyal Hashmi, MD @MDaniyalHashmi1 #Shock #Hypotension #Differential
Shock and Hypotension ... MDaniyalHashmi1 #Shock ... #Hypotension #Differential ... #Diagnosis #Causes ... #Overview
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis ... Medication • Anaphylaxis ... #Differential #Diagnosis ... #causes
Occult Causes of Non-Response to Vasopressors vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... cognitive response to hypotension ... primary therapy for hypotension ... hypothyroid - anaphylaxis ... shock #Diagnosis
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Diagnosis Algorithm ... Sepsis • Anaphylaxis ... #Hypotension #Differential ... #Diagnosis #Algorithm ... #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... the setting of hypotension ... • Reactionary: anaphylaxis ... Classification #diagnosis ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... the setting of hypotension ... • Reactionary: anaphylaxis ... Classification #diagnosis ... #differential #causes
Cold Urticaria Prevalence - 0.05% in the population Disease onset - Mostly 2nd to 4th decades of life Causes
decades of life Causes ... Female predominance Anaphylaxis ... shortness of breath, Hypotension ... , shock, Uterine ... Cold #Urticaria #diagnosis
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
Manifestations of Anaphylaxis ... capillary refill, hypotension ... : bradycardia, shock ... Gastrointestinal - Nausea ... cessation of play #Diagnosis
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 Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Disseminated Intravascular ... Coagulation (DIC) Overview ... dysfunction (16%) • Shock ... #Coagulation #diagnosis ... #causes #treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Syndrome (PRES) Overview ... Infection/Sepsis/Shock ... transplantation, Hypertension ... the underlying cause ... with AEDs until cause
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