25 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... • Cardiogenic shock ... , sudden cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... HF, Cardiogenic shock ... agent, steroids, AC
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C ... ECG has been stable ... Cardiac MR shows ... Echocardiogram #A4C ... #hypertrophic #clinical
Left Ventricular Hydatid Cyst on Cardiac MRI 

Illustrative Cardiac MRI image showing a large hydatid cyst
Hydatid Cyst on Cardiac ... MRI Illustrative ... Cardiac MRI image ... , anaphylactic shock ... LV #CardiacMRI #clinical
Intra-Aortic Thrombi on Cardiac MRI
4 intraaortic thrombi attached to the wall of the descending aorta,moving in
Intra-Aortic Thrombi on Cardiac ... MRI 4 intraaortic ... synchrony with cardiac ... Aorta #CardiacMRI #Clinical ... Sagittal #Mural #NEJM
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB