Post on 25-Oct-2020
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Hemodynamic DisordersHemodynamic Disorders
Thrombosis and ShockThrombosis and Shock
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Pulmonary EdemaPulmonary Edema AnasarcaAnasarca
HydrothoraxHydrothorax
HydropericardiumHydropericardium Cerebral EdemaCerebral Edema
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PetechiaePetechiae PurpuraPurpura
HemarthrosisHemarthrosisHematomaHematoma
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HemopericardiumHemopericardium
PT and PTTPT and PTT
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ThrombosisThrombosis
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Lines of ZahnLines of Zahn Mural ThrombusMural Thrombus
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Ultrasound visualizationUltrasound visualization
NoninvasiveNoninvasive Follow the patientFollow the patient High predictive valueHigh predictive valueg pg p Show meShow me..
Amniotic Fluid Amniotic Fluid EmbolizationEmbolization (Mom’s lung)(Mom’s lung)
Douglas (WrongDouglas (Wrong--Way) CorriganWay) CorriganParadoxical EmbolusParadoxical Embolus
Starts on the right, Starts on the right, ends up on the left.ends up on the left.
How?How? Patent foramen ovalePatent foramen ovale
1010--15% by ultra sound15% by ultra sound 27% at autopsy27% at autopsy About 1% big enoughAbout 1% big enough
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Disseminated Intravascular CoagulationDisseminated Intravascular Coagulation
Hemorrhagic InfarctHemorrhagic Infarct
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Shock is not SurpriseShock is not Surprise
Tissue hypoxia and acidosisTissue hypoxia and acidosis The PThe P33 SyndromeSyndrome
Really (pi..)Really (pi..)PP PoorPoor
PerfusionPerfusion
Many causesMany causes Complication of somethingComplication of something
Blood PressureBlood Pressure
Things start when Things start when systolic drops systolic drops below about 90 below about 90 mmHgmmHg
Heart’s pumping Heart’s pumping capacitycapacity
Blood volumeBlood volume Container sizeContainer size AutocatalyticAutocatalytic
The Shock SpiralThe Shock Spiral EndotoxicEndotoxic ShockShock
The Shock SpiralThe Shock Spiral
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