32 results
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... anaphylaxis, toxins/meds ... O2 delivery • PE ... Classification #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... anaphylaxis, toxins/meds ... O2 delivery • PE ... Classification #diagnosis #management ... #differential #causes
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... ), RV Failure (PE ... Toxins (CCB, BB, BRASH ... Failure, Endocrine (adrenal ... albumin, trauma), Renal
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... tamponade, Vascular → PE ... findings based on cause ... infusion reactions, adrenal ... uw_IMresidency #Shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Pulmonary >> Acute PE ... Inotropes - Adrenal ... #Diagnosis #Management
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
score (30-day PE-related ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis #management
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... and gut, which causes ... #clincial #peds ... #adrenal #calcifications ... #infant #NEJM #
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
URT inflammation causes ... & hemorrhagic rash ... ; symptoms of shock ... Vesicular & pruritic rash ... #Immunization #peds
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... meningococcal purpuric rash ... Coma #Pediatrics #Peds
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Bradycardia R - Renal ... blockade S - Shock ... Typical ECG in BRASH ... Syndrome #diagnosis #management