19 results
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Heart Failure, Valvular ... Disease, Mechanical ... inopressors #diagnosis #management ... #comparison #table
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Infarction • Stable ... • Dilating Aneurysm ... Mediastinal Causes: - Vascular ... • Biliary Disease ... • Peptic Ulcer Disease
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... insufficiency, acute valvular ... • Pulmonary vascular ... Types #diagnosis #management ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... , Severe Valve Disease ... compartment syndrome, Vascular ... Dehydration Shock ... algorithm #treatment #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
• Aortic valve disease ... Thoracic aortic aneurysm ... deficit • Shock ... Dissection #diagnosis #management ... #vascular
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... severe cardiogenic shock ... disease), or those ... index) -systemic vascular ... #Differential #Table
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock ... of invasive GAS disease ... , erythematous macular ... BIDMC Infectious Diseases ... STSS #treatment #management
Behcet's Syndrome - Treatment
Ulcers:
 • Treatment: Topical steroids
 • Prevention: Colchicine
 • Azathioprine for refractory disease
Arthritis:
for refractory disease ... for refractory disease ... immunosuppressive meds) Vascular ... be needed for aneurysms ... Syndrome #Treatment #management
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
End Stage Renal Disease ... Structural Heart Disease ... Pre-Coronarv): Shock ... • Focal, Non-Vascular ... Occlusion • Stable
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
disease • Prosthetic ... Congenital heart disease ... lesions • Mycotic aneurysm ... valvular disease ... Endocarditis #diagnosis #management