16 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Failure, Toxins/Medications ... Decompensated CHF ... Valve Disease, Myocarditis ... , CVP > 12 • Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Decompensated CHF ... Valve Disease, Myocarditis ... • Obstructive: Pulmonary ... algorithm #treatment #management
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... , Cardiogenic shock ... #diagnosis #management ... #cardiology #summary
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
LV Failure (MI, myocarditis ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... Pipes Problem (↓ SVR ... thyrotoxicosis), Medications
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
brady, Signs of Shock ... AMS, SOB from CHF ... sedative & pain medication ... #differential #management ... #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
blocking agent • Shock ... Hyperkalemia Pulmonary ... infarction • Myocarditis ... Heart block Medications ... #cardiology #BRADI
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... (cardiogenic pulmonary ... patients (ie., CHF ... hair) • Risk Of Clinical ... #criticalcare #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Pericarditis or myocarditis ... PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary ... vagal maneuvers: SVT-AVNRT ... #Palpitations #Cardiology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... - Decreased SVR ... Severe Valve Dz, Myocarditis ... Classification #diagnosis #management ... #differential #causes