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
POCUS evaluation ... classification ... #Diagnosis #FALLS ... #Protocol #Shock ... #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... #Classification ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Ultrasound in SHock ... Evaluation RUSH ... Protocol: β€’ PUMP ... #diagnosis #Ultrasound ... #pocus #shock
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... #Classification ... #Types #diagnosis ... warm #wet #dry #table
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... efforts should focus ... underlying renal dysfunction ... #Diagnosis #Hyperkalemia ... #Evaluation #Algorithm
β–Ί
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... and no apparent focus ... Shock evidenced ... bleeding: based on evaluation ... #diagnosis