7 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Endocarditis - Post-MI ... HOCM or Takotsubo CM ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... pressure, pallor Cardiogenic ... failure, acute MI ... #table #comparison
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... pericardial pressure can ... oxygen consumption) can ... Ahmed Ghoneem, MD MSc ... artery #catheter #diagnosis
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
is required for diagnosis ... heart valves • MRI ... often seen • MRI ... #Endocarditis #comparison ... #table
Conjunctival Pigmented Lesions: Diagnosis and Management
Pigmented lesions that arise from the conjunctiva include nevus, complexion-associated melanosis
Pigmented Lesions: Diagnosis ... source, such as pigment ... #Ophtalmology # ... #CAM #Melanosis ... #Comparison #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
30%, LVEDd > 6.0 cm ... ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... shock and severe ... during Delivery • Stable