Sepsis differential diagnosis: Difference between revisions
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Other non-infectious causes of systemic inflammatory response syndrome (SIRS) that must be considered include: | |||
Other non infectious causes of systemic inflammatory response syndrome (SIRS) that must be considered include: | |||
* Postoperative recovery | * Postoperative recovery | ||
* | * Penetrating trauma | ||
* Burns | * [[Burns]] | ||
* Transplant rejection | * [[Transplant rejection]] | ||
* Hyperthyroidism | * [[Hyperthyroidism]] | ||
* Addisonian crisis | * [[Addisonian crisis]] | ||
* Blood product transfusion reactions | * Blood product transfusion reactions | ||
* Serum sickness | * [[Serum sickness]] | ||
* Immunizations | * [[Immunization|Immunizations]] | ||
* CNS infarction or hemorrhages | * CNS infarction or [[hemorrhages]] | ||
* Leukemia | * [[Leukemia]] | ||
* Malignant hyperthermia | * [[Malignant hyperthermia]] | ||
* Neuroleptic malignant syndrome | * [[Neuroleptic malignant syndrome]] | ||
* Serotonergic syndrome | * Serotonergic syndrome | ||
* Delirium tremens | * [[Delirium tremens]] | ||
* Metformin lactic acidosis | * [[Lactic acidosis|Metformin lactic acidosis]] | ||
==References== | ==References== |
Revision as of 15:11, 23 May 2017
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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, pharyngitis, sinusitis, bronchitis, otitis media, and bacterial meningitis.
Differential Diagnosis
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
- ↑ 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.