Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... classification ... #Diagnosis #FALLS ... #Protocol #Shock ... #Algorithm
Causes, classification and compensatory responses to shock.

Shock can be caused by any pathological process that leads
Causes, classification ... Shock can be caused ... vasodilatation, myocardial dysfunction ... #Diagnosis #CriticalCare ... #Causes #Types
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Differential Diagnosis ... and 2, but not type ... Low #Potassium #Table ... #Classification ... #Causes
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... β€’ Most common type ... #Types #diagnosis ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... #Differential #Diagnosis ... #Classification ... #Table #Causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
renal tubular dysfunction ... #Differential #Diagnosis ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... #Classification ... #diagnosis #management ... #differential #causes ... #classification
Von Willebrand Disease Classification
Type 1 (Accounts for ~3/4 of cases):
 β€’ Defect: Quantitative defect (i.e. not
Willebrand Disease Classification ... for ~3/4 of cases ... Qualitative defect (i.e. dysfunctional ... Accounts for <5% of cases ... #Types #diagnosis
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Leukopenia β€’ Cases ... Shock evidenced ... bleeding: based on evaluation ... #diagnosis