CEM @CEM
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... or Think Low.” ... Evaluation #Protocol #Algorithm ... #High #Chest #Cardiogenic ... #Obstructive #Shock
Summary Table of how the 4 types of shock affect the circulatory system: 
 - Hypovolemic
Summary Table of ... how the 4 types ... of shock affect ... Management #Types #Shock ... #Comparison #Table
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... #Cardiogenic #Shock ... CHF #Diagnosis #Table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... Shock - Low CO ... #Classification ... #differential #causes ... #classification
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... call it, “Think High ... or Think Low.” ... Evaluation #Protocol #Algorithm ... #Low #Abdomen #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
areas, back of thigh ... Shock - Low CO ... #Classification ... #differential #causes ... #classification
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
diabetes - Post-obstructive ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Differential Diagnosis Algorithm ... are present • Classic ... B-Cell ~90% • Low ... age range • High ... Lymphoproliferative #Disorders #Classification
Causes of Urinary Incontinence - Differential Diagnosis Algorithm
 - Transient - Easily reversible cause (DIAPPERS)
Causes of Urinary ... Differential Diagnosis Algorithm ... Distended bladder with high ... Bladder Outlet Obstruction ... Differential #Diagnosis #Algorithm
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Elevated Liver tests, Low ... pre-eclampsia * High ... child * Severe cases ... Diagnosis #Comparison #Table