11 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis ... #Features #Signs
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... #Diagnosis #Management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... findings based on cause ... #table #comparison
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... heart valves • MRI ... often seen • MRI ... #Endocarditis #comparison ... #table
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
life-threatening causes ... pain, such as MI ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... the determined cause ... #algorithm #management ... cardiology #treatment #table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... Delivery • Stable
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
too often, the knee-jerk ... heart (Sepsis, Shock ... are typically able ... #diagnosis #algorithm ... echocardiogram #management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
too often, the knee-jerk ... heart (Sepsis, Shock ... are typically able ... treat the primary cause ... #diagnosis #management