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
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... High or Think Low ... #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 ... High or Think Low ... #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
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... obstruction to blood flow ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... , TIMI low (1-2) ... Indications #Cardiac #catheterization
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... obstruction to blood flow ... #Differential #Diagnosis ... #Classification ... #Table #CriticalCare
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
moderate diastolic dysfunction ... #Diagnosis #Cardiology ... Diastolic #Diastology #Dysfunction ... #Grading #Classification ... Grades #Criteria #Table
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... - Low CO and therefore ... #Classification ... #diagnosis #management ... differential #causes #classification
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
Right Heart Catheterization ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... may have a low ... artery #catheter #diagnosis