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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 ... #Diagnosis #Management ... #cardiology
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
Tachypnea - Differential ... Diagnosis Framework ... motion (PVFM) Cardiac ... • Pericardial effusion ... • Hypovolemic shock
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Diagnosis Framework ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... #Diagnosis #cardiology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... findings based on cause ... #Differential # ... Diagnosis #table
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Bradycardia - Differential ... Diagnosis Framework ... blocking agent • Shock ... #diagnosis #causes ... #cardiology #BRADI
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology ... #causes
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... - Cardiac arrest ... failure - Low cardiac ... #Diagnosis #causes
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... disease • Cardiac ... Pulse deficit/differential ... deficit • Shock ... #management #vascular
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare ... #differential
Causes of Ischemic Stroke - Differential Diagnosis Algorithm Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia - Large
Causes of Ischemic ... Diagnosis Algorithm ... • Pericardial effusion ... • Shock ... #Causes
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