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Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Cardiac surgery? ... #Summary #criticalcare ... #treatment #workup
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... myocarditis, etc), Valves ... Pneumothorax, Cardiac ... #diagnosis #differential ... guyton #curves #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Diagnosis Framework ... Pneumothorax, Cardiac ... Treatment Goals ... Diagnosis #criticalcare
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... #Myocarditis #differential ... #cardiology #MRI
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... #Differential # ... #comparison #criticalcare
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... Pulse deficit/differential ... deficit • Shock ... Treatment - ED ... Aortic #Dissection #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... to bolus these values ... ->treatments include ... perfusion - Cardiac ... failure - Low cardiac
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