Sepsis differential diagnosis: Difference between revisions
Aditya Ganti (talk | contribs) |
|||
Line 13: | Line 13: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
<span style="font-size:85%">'''Abbreviations:''' | |||
'''CO:''' cardiac output, '''CVP:''' central venous pressure, '''PAD:''' pulmonary artery diastolic pressure. '''PAS:''' pulmonary artery systolic pressure, '''RVD:''' right ventricular diastolic pressure.'''RVS:''' right ventricular systolic pressure. '''SVO2:''' systemic venous oxygen saturation, '''SVR:''' systemic vascular resistance. | |||
</span> | |||
{| style="border: 2px solid #A8A8A8; font-size: 100%;" align="center" | {| style="border: 2px solid #A8A8A8; font-size: 100%;" align="center" | ||
|+ ''Classification of shock based on hemodynamic parameters.'' | |+align="center" style="background:#4479BA; color: #FFFFFF;" | '''Classification of shock based on hemodynamic parameters.''' <ref name="isbn0-683-06754-0">{{Cite book | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicine | date = 1984 | publisher = William Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages = }}</ref><ref name="isbn9781405179263">{{cite book | author = Judith S. Hochman, E. Magnus Ohman | authorlink = | editor = | others = | title = Cardiogenic Shock | edition = | language = | publisher = Wiley-Blackwell | location = | year = 2009 | origyear = | pages = | quote = | isbn = 9781405179263 | oclc = | doi = | url = | accessdate = }}</ref> | ||
| align="center" style="background: #A8A8A8; width: 100px;"| '''Type of Shock''' | | align="center" style="background: #A8A8A8; width: 100px;"| '''Type of Shock''' | ||
| align="center" style="background: #A8A8A8; width: 50px;" | '''Etiology''' | | align="center" style="background: #A8A8A8; width: 50px;" | '''Etiology''' |
Revision as of 18:00, 23 May 2017
Resident Survival Guide |
Sepsis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Sepsis differential diagnosis On the Web |
American Roentgen Ray Society Images of Sepsis differential diagnosis |
Risk calculators and risk factors for Sepsis differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]
Synonyms and keywords: sepsis syndrome; septic shock; septicemia
Overview
Sepsis must be differentiated from other syndromes such as the acute bacterial endocarditis, myocardial ring abscess, subacute bacterial endocarditis and bacterial meningitis.[1]
Differential Diagnosis
Abbreviations: CO: cardiac output, CVP: central venous pressure, PAD: pulmonary artery diastolic pressure. PAS: pulmonary artery systolic pressure, RVD: right ventricular diastolic pressure.RVS: right ventricular systolic pressure. SVO2: systemic venous oxygen saturation, SVR: systemic vascular resistance.
Type of Shock | Etiology | CO | SVR | PCWP | CVP | SVO2 | RVS | RVD | PAS | PAD |
Cardiogenic | Acute Ventricular Septal Defect | ↓↓ | ↑ | N — ↑ | ↑↑ | ↑ — ↑↑ | N — ↑ | ↑ | N — ↑ | N — ↑ |
Acute Mitral Regurgitation | ↓↓ | ↑ | ↑↑ | ↑ — ↑↑ | ↓ | ↑ | N — ↑ | ↑ | ↑ | |
Myocardial Dysfunction | ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | N — ↑ | N — ↑ | N — ↑ | ↑ | |
Right Ventricular Infarction | ↓↓ | ↑ | N — ↓ | ↑↑ | ↓ | ↓ — ↑ | ↑ | ↓ — ↑ | ↓ — ↑ | |
Obstructive | Pulmonary Embolism | ↓↓ | ↑ | N — ↓ | ↑↑ | ↓ | ↓ — ↑ | ↑ | ↓ — ↑ | ↓ — ↑ |
Cardiac Tamponade | ↓ — ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ | N — ↑ | ↑ | N — ↑ | N — ↑ | |
Distributive | Septic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ | N — ↓ | N — ↓ | ↓ | ↓ |
Anaphylactic Shock | N — ↑↑ | ↓ — ↓↓ | N — ↓ | N — ↓ | ↑ — ↑↑ | N — ↓ | N — ↓ | ↓ | ↓ | |
Hypovolemic | Volume Depletion | ↓↓ | ↑ | ↓↓ | ↓↓ | ↓ | N — ↓ | N — ↓ | ↓ | ↓ |
Other non-infectious causes of systemic inflammatory response syndrome (SIRS) that must be considered include:
- Postoperative recovery
- Penetrating trauma
- Burns
- Transplant rejection
- Hyperthyroidism
- Addisonian crisis
- Blood product transfusion reactions
- Serum sickness
- Immunizations
- CNS infarction or hemorrhages
- Leukemia
- Malignant hyperthermia
- Neuroleptic malignant syndrome
- Serotonergic syndrome
- Delirium tremens
- Metformin lactic acidosis
References
- ↑ Machowicz R, Janka G, Wiktor-Jedrzejczak W (2017). "Similar but not the same: Differential diagnosis of HLH and sepsis". Crit. Rev. Oncol. Hematol. 114: 1–12. doi:10.1016/j.critrevonc.2017.03.023. PMID 28477737.
- ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicine. Baltimore: William Wilkins. ISBN 0-683-06754-0.
- ↑ Judith S. Hochman, E. Magnus Ohman (2009). Cardiogenic Shock. Wiley-Blackwell. ISBN 9781405179263.