31 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Failure, Toxins/Medications ... , CVP > 12 • Pulmonary ... Embolism, Tension
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... branch block, ST ... in V1 - V4 #Clinical
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... evaluating for other causes ... • Non-specific ST-T ... #EKG #Pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary ... pancreatitis • Medication ... #causes
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Depends on the cause ... Pulmonary embolism ... #Comparison #criticalcare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... on scores and clinical ... class (30-day all cause ... Transient Hypotension, Shock ... #Embolism #Risk
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
first agent in shock ... • Higher doses cause ... line in septic shock ... cAMP/cGMP • Causes ... Summary #management #medications
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Pipes Problem (↓ SVR ... amniotic or fat embolism ... thyrotoxicosis), Medications
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
• Acromegaly Medications ... agonists • Others Critical ... Hyperglycemia (e.g ... Burns, Sepsis) • Shock ... endocrinology #causes