9 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
peritoneal, RP) Distributive ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... contractility) - Acute MI ... Classification #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
failure, and death DISTRIBUTIVE ... myxedema, beriberi CARDIOGENIC ... infarction, following cardiac ... pneumothorax, cardiac ... warm #wet #dry #table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy (gold ... Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor Cardiogenic ... failure, acute MI ... based on cause Distributive ... Differential #Diagnosis #table
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 2. ... New/worsening MR ... #Indications #Cardiac ... catheterization #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... Direct Fick is the GOLD ... much as 40% in cardiac ... catheter #diagnosis #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... algorithm #management #cardiology ... #treatment #table ... #foamed #heartfailure
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... shock and severe ... and timing with Cardio-OB ... diagnosis #management #cardiology