13 results
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... due to loss of sodium ... #Types #diagnosis ... #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... - Most common type ... due to loss of Sodium ... water #Shock #Classification ... #types #diagnosis
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... young or very old ... determine the type ... Dr. ... #Sodium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
and 2, but not type ... periodic paralysis Dr ... Low #Potassium #Table ... #Classification ... #Causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... pneumothorax Dr ... #Table #CriticalCare
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
e.g. pneumonia, COPD ... toast” diet Dr ... Differential #Diagnosis #Table ... #Causes #Sodium
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Classification: ... HRS-AKI (formerly Type ... albumin (1 g/kg/day ... • Urine sodium ... could be <10 mEq
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... physiologic approach a try ... normal volume-based algorithm ... : SIADH, Renal Sodium ... differential #diagnosis #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Stable patients ... Risk Stratify Type ... What is the type ... day of surgery
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... the determined cause ... #differential #algorithm ... cardiology #treatment #table