24 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... • Hypovolemic: Bleeding ... Nesiritide 3) Treat ... inopressors #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... thromboembolic disease, breast ... endometrial path0100' or breast ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... wet (dependent areas ... • Hemorrhagic: bleeding ... , post-partum) bleeding ... Classification #diagnosis #management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if pregnant or breast ... feeding! ... workup choices AND management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Presentation in septic shock ... SBP: Medical Management ... prophylaxis - Best ... acceptable Upper Gl bleeding
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Findings: • Bleeding ... Findings: • Bleeding ... dysfunction (16%) • Shock ... Treatment: • Treat ... causes #treatment #management
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
has traveled to areas ... Shock or respiratory ... Shock evidenced ... Severe bleeding: ... nervous system [CNS] bleeding
Muscosal Bleeding: This patient developed multiple areas of spontaneous mucosal bleeding 
in and around his mouth
Muscosal Bleeding ... developed multiple areas ... spontaneous mucosal bleeding ... Images #Clinical #Photo ... Oral #Mucosal #Bleeding
Diabetic Retinopathy: Pathogenesis and clinical findings

Mild Non-proliferative DR
 • Outpouchings of the weakened capillary walls or
Hemorrhages • Focal areas ... ischemia -> Venous beading ... Retinopathy #Diabetes #ophthalmology