13 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... - Septic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... contractility) - Acute MI ... DrEricStrong #Shock ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... #Vasopressors #shock ... management #comparison #table
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Resonance Imaging (MRI ... #Contrast #CT #MRI ... #POCUS #radiology ... diagnosis #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... New/worsening MR ... Rx: NSTEMI/UA: stable
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Echo ALL shock patients ... EM_RESUS #Clinical #POCUS ... #Differential #Table ... Undifferentiated #Shock
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... ARB/ACE-I/ARNI/MRA ... during Delivery • Stable
Laryngeal Ultrasound - Vocal Cords while talking on POCUS

What was the most likely indication for this
while talking on POCUS ... Unlike CT and MRI ... ultrasound is reliably able ... Ultrasound #VocalCords #POCUS
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... Vitals stable/afebrile ... had CT scan and MRI ... #Dilated #CBD #POCUS