hypotension def

Question 1

hepatic failure &

low peripheral resistance= vasodilation/

pathophys + consequence in VS

Answer 1

advanced liver dz=>

1) he^pati_c hyp_erten^sioⁿ
2) s_ystem^ic & s_pla^nchi_{c va}so^dila^tion Thxt N_O
3) in_{cr C}O==b^oundin^{g pu}lse

Question 2

pulse pressure/ narrow PP/

def

Answer 2

systolic &diastolic pressure readings

120/80 mm Hg => pulse pressure is 40

Question 3

BNP

/def

/ use

Answer 3

=>B_rain Na^triu^retic Peptide =BNP

=>mad_{e by} he^art & sh^ows ho^{w w}ell hea_{rt is} wo^rking /

ex: HF =>heart releases +++ BNP

hint:

Atrial natriuretic peptide =(ANP)

Question 4

**rocky mountain spotted fever

Answer 4

revoir mindmap

Question 5

cardiac surgery & acute tamponade/

pathogenesis (4)

Answer 5

following

tra_umati^{c in}jur_y,

ru_ptur^{e o}f th_{e h}ea_{rt o}r ao^rta,

or a_{n in}va^siv^{e d}x

or th_erapeu_tic p^roced_ure

Question 6

hypotension/pulsus paradoxus

/definition

/why is there a paradox?

Answer 6

=>an exa^ggerated ^decr in ^BP w the n^{l in}spir^ation

=>nly during in_spiration _{u h}ave ++ b^lood ^comin_{g in} the R h^eart => D^ECR in B^P in t_he left h^eart

hint: de_cr s_hould b^e <10mmHG

Question 7

**free wall rupture/

often occ…

Answer 7

pos^{t m}yoc^ardial inf^arcti^on (AMI),

blu_nt & p_enetra^ting ca^rdia^{c tr}au^ma

hint:

ur fault vs not ur fault

Question 8

pulsus paradoxus/

how to measure

Answer 8

listen to S^BP duri^{ng insp}iratio^{n a}nd ex^piratio^n;

substra^{ct d}iff/ differ^ence > 10 mm Hg su^ggests ca^rdiac ta_mpona^de

Question 9

hypotension/cardiac tamponade suspected

/which imaging test to perform?

Answer 9

tra_nsthorac^{ic echo}car^diogra^phy

Question 10

htn/shock definition

Answer 10

evidence of mu^ltis^ystem or^gan h^ypop_erfusi^on

Question 11

htn/shock/ types of..aka etiologies

Answer 11

1. pump pb= c_ardiog^enic;
2. conduit pb= di^str_ibuti_ve= low peripheral R usually due to sepsis:
3. fluid pb= h_ypov^ole_mic

Question 12

htn/SIRS/def

Answer 12

s_ystemⁱc infla_mma^tor_{y r}e^spons_{e sy}ndro^me

Question 13

*s3 sound/

etiology/

occ when

Answer 13

fl^owin_{g bl}ood _ag^ains_{t a} dⁱste_nded or _incom^pliant _ventr^icle

in mi_{d di}as^tole

hint: 3 womb= distended + non compliant belly

Question 14

rocky Mountain spotted fever./other name

Answer 14

Rickettsia