69 results
Clinical features of shock from dehydration in an infant

Decreased level of consciousness 
Sunken fontanelle 
Dry mucous
Clinical features of shock ... from dehydration ... Signs #Symptoms #Shock ... #Infant #Dehydration
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... - Obstructive Shock ... Hemorrhage • Dehydration
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Abdominal compartment syndrome ... Spacing, Extreme Dehydration ... Shock Treatment ... Sophia_Hayes_MD #Shock
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
: • Excessive hydration ... close to 1.035: • Dehydration ... • SIADH (syndrome
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Bleeding, Extreme Dehydration ... Nesiritide 3) Treat shock ... #Vasopressors #shock
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Spacing, Extreme Dehydration ... Sophia_Hayes_MD #Shock
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... • Hemorrhage, dehydration ... anaphylaxis, release syndrome ... uw_IMresidency #Shock
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... hyperviscosity syndrome ... - Aggressive hydration ... rasburicase Tumor Lysis Syndrome ... #Tumor #Lysis #Syndrome
Budd Chiari Syndrome
Hepatic vein obstruction. Can be caused by thrombosis or sometimes a tumour. Can lead
Budd Chiari Syndrome ... Can lead to shock ... #BuddChiari #Syndrome
Serotonin Syndrome
 - Rapid onset 
 - Combination of 2+ serotonin agonists 
Mental status changes:
Serotonin Syndrome ... Benzodiazepines - Hydration ... #Serotonin #Syndrome