14 results
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Inadequate tissue perfusion ... #differential # ... diagnosis #algorithm ... #causes
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Dyspnea - Differential ... Diagnosis Algorithm ... Pericardial • Effusion ... Artery Disease • Stable ... #Causes
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Infarction • Stable ... • Pleural Effusion ... #Diagnosis #Algorithm
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... #Differential # ... Table #Undifferentiated
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... release syndrome, infusion ... #Differential # ... Diagnosis #table
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... to bolus these values ... / hypoxemia -> focus ... on improving perfusion ... Acidosis #Elevation #Differential
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... syndrome • Aortic Valve ... • Post cardiac/Valve ... #diagnosis #causes
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
Cardiac Tamponade on Echocardiogram ... when the mitral valve ... large pericardial effusion ... Hemodynamically stable ... clinical tamponade of shock
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Diagnosis Algorithm ... • Pericardial effusion ... • Shock ... #Causes
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #diagnosis #differential ... #algorithm #management ... cardiology #treatment #table