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Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Causes of Chest Pain ... Differential Diagnosis Table ... ACS • Aortic Dissection ... • Pulmonary Embolism ... • Pneumothorax
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... flow) - Massive pulmonary ... tamponade - Tension pneumothorax ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... valvular rupture, dissection ... filling) → tension pneumothorax ... #Classification ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... valvular rupture, dissection ... embolism or severe pulmonary ... filling) → tension pneumothorax ... #Classification
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic dissection ... • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Infarction • Stable ... • Aortic Dissection ... Embolism (chest pain ... Pleura • Pneumothorax
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... Acute PE, Tension Pneumothorax ... #criticalcare #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... & Dry) is the treatment ... essentially Cardiogenic Shock ... #table #foamed
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Torsemide) • Acute pulmonary ... Postoperative abdominal distention ... • Hypovolemic shock ... Tolvaptan) • Treatment ... #Medications #Table