25 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... Cardiogenic #Comparison #Table
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
compensatory responses to shock ... Shock can be caused ... vasodilatation, myocardial dysfunction ... The cause of shock ... is often clinically
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition ... shock. ... END-ORGAN DYSFUNCTION ... warm #wet #dry #table
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... cellular/metabolic dysfunction ... Infection + Organ dysfunction ... CLINICAL RECOGNITION ... CLINICAL FEATURES
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... death Common Clinical ... Distributive Shock
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... death -> end-organ dysfunction ... death Common Clinical ... Distributive Shock
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... Angiogram #CathLab #clinical
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... -(rare), Valve dysfunction ... failure ++, Valve dysfunction ... Valve destruction/dysfunction ... Marantic #diagnosis #table