31 results
Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
Reflex Syncope - Cardiogenic ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare #
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Vasodilation) - Cardiogenic ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare #
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... pressure, pallor Cardiogenic ... failure, acute MI ... #table #comparison ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... neurogenic shock) Cardiogenic ... contractility) - Acute MI ... Classification #Table ... #CriticalCare
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... Troponin Increases, Cardiac ... Causes #cardiology #MRI
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Myocarditis #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... Classification #diagnosis ... #differential #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Undifferentiated #Shock #diagnosis ... guyton #curves #criticalcare