8 results
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... or the type of shock ... #Diagnosis #PACatheter ... #NormalValues #Differential ... #Table #Chambers
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure): • Severe heart ... failure, acute MI ... Diagnosis #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... • Ruptured aortic ... - Severe heart ... #Table #CriticalCare
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... beats: • Left heart ... drop in arterial pressure ... >10mmHg: • Cardiac ... • Hypovolemic shock
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... deficit • Shock ... opiates • Control heart ... Control blood pressure ... #Dissection #diagnosis
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Catheterization #RHC #PACatheter ... #diagnosis #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Diagnosis Framework ... blocking agent • Shock ... Raised Intracranial Pressure ... Tachy-Brady syndrome • Aortic ... Valve surgery • Heart
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB