12 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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... valvulopathy • Pulmonary ... embolism • Left ... obstruction • Pulmonary ... pancreatitis • Medication
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... diagnosis #management #comparison
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
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive Shock ... Pulmonary embolism ... #Comparison #criticalcare
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Respiratory: • Pulmonary ... Embolism • Hypoxia ... • Anemia • Medications ... Tachyarrhythmia: • VT
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
Hypovolemic shock ... ↑ Cardiogenic shock ... 1 ↑ Septic shock ... → ↓ → →↑ Pulmonary ... Embolism ↓ ↑
Left Ventricular Hydatid Cyst on Echocardiogram (A4C)
Illustrative echo-first image showing a large hydatid cyst in the
Hydatid Cyst on Echocardiogram ... Pulmonary embolism ... , anaphylactic shock ... Hydatid #Cyst #LV #Echocardiogram
Pulmonary Embolism in COVID-19- Clot in Transit

57 year old COVID PUI  with massive RA thrombus
Pulmonary Embolism ... thrombus burden, DVT ... DrAmirKaki #Pulmonary ... #Embolism #AcutePE ... ClotinTransit #POCUS #Echocardiogram