33 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... not initiate in acute ... - Refractory Bleeding ... #Varices #Bleeding ... #diagnosis #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... Esophageal Variceal ... ) - No role in acute ... from the ulcer caused ... Endoscopic Variceal
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... unclear source (in case ... Endoscopic variceal ... #Bleeding #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... #Differential #Diagnosis ... #causes
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... embolism or severe pulmonary ... gastrointestinal bleeding ... Classification #types #diagnosis ... #management #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... • Hypovolemic: Bleeding ... Pericardial tamponade, Pulmonary ... #inopressors #diagnosis
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare ... #diagnosis #classification
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary ... gastrointestinal bleeding ... Classification #Types #diagnosis